Healthcare Provider Details

I. General information

NPI: 1003734195
Provider Name (Legal Business Name): HARVEST POINT BEHAVIORAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 RENARD PL SE STE 101
ALBUQUERQUE NM
87106-4264
US

IV. Provider business mailing address

2309 RENARD PL SE STE 101
ALBUQUERQUE NM
87106-4264
US

V. Phone/Fax

Practice location:
  • Phone: 510-390-5467
  • Fax:
Mailing address:
  • Phone: 510-390-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAVIS FREEMAN
Title or Position: CEO
Credential:
Phone: 510-390-5467