MEDICARE: NCED MENTAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	000724	TX

General Provider Information

NPI Number	:	1144223975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NCED MENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	1900 DENVER AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3008
Country	:	US
Telephone Number	:	915-544-4000
Fax Number	:	915-532-0733

Provider Business Practice Location Address
First Line	:	1900 DENVER AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3008
Country	:	US
Telephone Number	:	915-544-4000
Fax Number	:	915-532-0733

Authorized Official
Title or Position	:	HOSPITAL ADMINISTRATOR
Name	:	MR. HECTOR MORALES
Credential	:
Telephone Number	:	915-544-4000

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/19/2008

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Directions to “NCED MENTAL HEALTH CENTER ” Practice Location

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