Joseph Matthew Cauthen

NPI 1043656747 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1043656747
Gender Male
Enumeration Date 05/21/2013
Last Updated 05/21/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
851 ANDREA DR
FARMINGTON NM, 87401-6726, US
Phone (505) 324-5855
Fax
Business Location
851 ANDREA DR
SUITE 4 BLD. E
FARMINGTON NM, 87401-6726, US
Phone (505) 324-5855
Fax
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Mr. Joseph Matthew Cauthen NPI is 1043656747, taxonomy code is 322D00000X Joseph Matthew Cauthen physically located at 851 Andrea Dr, Farmington NM, 87401-6726. NPI Number Joseph Matthew Cauthen has the Individual type.

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1043656747 NPI number is provided on an as is basis without warranty of any kind. 1043656747 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Matthew Cauthen are for informational purposes only.