Four Corners Behavioral Health
NPI #1063008761 in Gallup, New Mexico
Provider Information
- NPI Number
- 1063008761
- Entity Type
- Organization
- Organization Name
- Four Corners Behavioral Health
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Dec 16, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 1500 S SECOND ST STE A
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5898
- Phone
- (507) 722-2923
Authorized Official
- Name
- MR. RICHARD K LAUGHTER, M.D.
- Title
- PSYCHAITRY
- Phone
- (505) 879-6575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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