| Quantum Behavioral Health, Llc | |
|
2900 Louisiana Blvd Ne Ste E2 Albuquerque NM 87110-3573 | |
| (505) 934-2251 | |
| Not Available |
| Full Name | Quantum Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Louisiana Blvd Ne Ste E2, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sterling Hale Brown (CO-MANAGER) |
| Authorized Official Contact | 5059342251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Behavioral Health, Llc 8004 Bridgewater Pl Nw Albuquerque NM 87120-8001 Ph: (505) 934-2251 | Quantum Behavioral Health, Llc 2900 Louisiana Blvd Ne Ste E2 Albuquerque NM 87110-3573 Ph: (505) 934-2251 |
| NPI Number | 1598232829 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 6608119227 |
|---|---|
| Medicare Enrollment ID | O20190523000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598232829 | NPI | - | NPPES |
| Provider Name | Sterling K Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104263375 PECOS PAC ID: 9739456153 Enrollment ID: I20170606000865 |
| Provider Name | Lucas Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245784867 PECOS PAC ID: 3870928112 Enrollment ID: I20200115001282 |
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