OrganizationActive
Birch Trail, LLC
NPI 1639797483 · Adult Mental Health Clinic/Center · Las Vegas, NM
Provider details
- NPI number
- 1639797483
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Williamson, Owner(505) 718-2472
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
210 Plaza St
Las Vegas, NM 87701-3433
Phone: (505) 426-7052
Approximate (ZIP-level) locationGet directions
Mailing address
600 Washington St
Las Vegas, NM 87701-4235
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-08-01
- Certified
- 2020-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.