Pms Western Nm Behavioral Health

NPI 1003917261 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1003917261
Enumeration Date 09/26/2006
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DORRIE JEAN DORRIE
Position PSR AIDE
Phone (505) 863-3828
Fax
Practice Location
1 IDAHO CIR
GALLUP NM, 87301-5443, US
Phone (505) 863-3828
Fax
Business Location
2025 E AZTEC AVE
GALLUP NM, 87301-4803, US
Phone
Fax
Toxanomy
Taxonomy Code 251C00000X
License State
License Number
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According to our database, Pms Western Nm Behavioral Health NPI is 1003917261, taxonomy code is 251C00000X Pms Western Nm Behavioral Health physically located at 1 Idaho Cir, Gallup NM, 87301-5443. NPI Number 1033115704 has the healthcare provider type.

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1003917261 NPI number is provided on an as is basis without warranty of any kind. 1003917261 is maintained by the National Plan & Provider Enumeration System. The contents of Pms Western Nm Behavioral Health are for informational purposes only.