New Vision Group Home

NPI 1497872550 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1497872550
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EVAN EVAN
Position CO-OWNER
Phone (505) 769-2142
Fax (505) 769-2161
Practice Location
919 RENCHER ST
CLOVIS NM, 88101-5858, US
Phone (505) 769-2142
Fax (505) 769-2161
Business Location
919 RENCHER ST
CLOVIS NM, 88101-5858, US
Phone (505) 769-2142
Fax (505) 769-2161
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
Remove 1497872550 NPI Number
 

According to our database, New Vision Group Home NPI is 1497872550, taxonomy code is 322D00000X New Vision Group Home physically located at 919 Rencher St, Clovis NM, 88101-5858. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1497872550 NPI number is provided on an as is basis without warranty of any kind. 1497872550 is maintained by the National Plan & Provider Enumeration System. The contents of New Vision Group Home are for informational purposes only.