Culturally Intergrated Healing Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CULTURALLY INTERGRATED HEALING INC

Practice address

816 Hwy 22
Pena Blanca, NM 87041

Phone

(505) 205-8387

Fax

(925) 421-2324

NPI assigned

Apr 13, 2021

Last updated

Apr 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cam Bui, MSW,MBA

Title

Ceo

Phone

(505) 205-8387

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1336729326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MONTGOMERY BLVD NE # 171",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113962",
            "telephone_number": "505-205-8387",
            "fax_number": "925-421-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 HWY 22",
            "city": "PENA BLANCA",
            "state": "NM",
            "postal_code": "87041",
            "telephone_number": "505-205-8387",
            "fax_number": "925-421-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURALLY INTERGRATED HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "CAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-205-8387",
        "authorized_official_credential": "MSW,MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serina Bailon
• Danetta Cate
• Tenasha Coriz, CCSS
• Interfaith Leap, Inc. (Sangre De Cristo Center)
• Virginia Robertson, LCSW
• Simon E. Suina

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pena Blanca, NM
• Providers in Pena Blanca, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.