Healthcare Provider Details

I. General information

NPI: 1487588216
Provider Name (Legal Business Name): APPLETREE EDUCATIONAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S BROADWAY ST
TRUTH OR CONSEQUENCES NM
87901-3167
US

IV. Provider business mailing address

1300 S BROADWAY ST
TRUTH OR CONSEQUENCES NM
87901-3167
US

V. Phone/Fax

Practice location:
  • Phone: 505-457-0281
  • Fax:
Mailing address:
  • Phone: 505-457-0281
  • 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: BAMBI BISHOP-MITCHELL
Title or Position: PROGRAM MANAGER
Credential:
Phone: 505-457-0281