Provider Demographics
NPI:1083044457
Name:ARROW BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ARROW BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/CO-FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:505-514-8630
Mailing Address - Street 1:1280 SUNSET RD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-3726
Mailing Address - Country:US
Mailing Address - Phone:505-514-8630
Mailing Address - Fax:505-452-3448
Practice Address - Street 1:2626 CENTRAL AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87104-1616
Practice Address - Country:US
Practice Address - Phone:505-514-8630
Practice Address - Fax:505-452-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health