Beverly Michael
NPI #1295910065 in Grants, New Mexico
Provider Information
- NPI Number
- 1295910065
- Entity Type
- Organization
- Organization Name
- Beverly Michael
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 29, 2007
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 1109 MESA BLVD
- Address 2
- SUITE D
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-3038
- Phone
- (505) 287-3773
Authorized Official
- Name
- BEVERLY MICHAEL, LISW
- Title
- OWNER/OPERATOR
- Phone
- (505) 287-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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