Provider Demographics
NPI:1336729326
Name:CULTURALLY INTERGRATED HEALING INC
Entity Type:Organization
Organization Name:CULTURALLY INTERGRATED HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,MBA
Authorized Official - Phone:505-205-8387
Mailing Address - Street 1:11024 MONTGOMERY BLVD NE # 171
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3962
Mailing Address - Country:US
Mailing Address - Phone:505-205-8387
Mailing Address - Fax:925-421-2324
Practice Address - Street 1:816 HWY 22
Practice Address - Street 2:
Practice Address - City:PENA BLANCA
Practice Address - State:NM
Practice Address - Zip Code:87041
Practice Address - Country:US
Practice Address - Phone:505-205-8387
Practice Address - Fax:925-421-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health