Pms Western Nm Behavioral Health
NPI #1003917261 in Gallup, New Mexico
Provider Information
- NPI Number
- 1003917261
- Entity Type
- Organization
- Organization Name
- Pms Western Nm Behavioral Health
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Aug 14, 2008
Practice Location
- Address
- 1 IDAHO CIR
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5443
- Phone
- (505) 863-3828
Authorized Official
- Name
- DORRIE JEAN LAYCOCK
- Title
- PSR AIDE
- Phone
- (505) 863-3828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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