| Alter Integration | |
|
961 Alameda Rd Nw Albuquerque NM 87114-1901 | |
| (725) 502-1061 | |
| Not Available |
| Full Name | Alter Integration |
|---|---|
| Speciality | Clinic/Center |
| Location | 961 Alameda Rd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jorge O Brozicevich (OWNER/PROVIDER) |
| Authorized Official Contact | 7255021061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alter Integration 961 Alameda Rd Nw Albuquerque NM 87114-1901 Ph: (505) 273-0566 | Alter Integration 961 Alameda Rd Nw Albuquerque NM 87114-1901 Ph: (725) 502-1061 |
| NPI Number | 1093510257 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 07/14/2025 |
| Certification Date | 07/14/2025 |
| Medicare PECOS PAC ID | 4981110020 |
|---|---|
| Medicare Enrollment ID | O20250724000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093510257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Jorge Oscar Brozicevich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437614377 PECOS PAC ID: 0244746386 Enrollment ID: I20250724000480 |
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