Golden Spread Rural Frontier

NPI #1356408256 in Clayton, New Mexico

Provider Information

NPI Number: 1356408256
Entity Type: Organization
Organization Name: Golden Spread Rural Frontier
Primary Specialty: Counselor
Enumeration Date: Jan 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 113 WALNUT ST
City: Clayton
State: New Mexico
ZIP Code: 88415-3049
Phone: (505) 374-6207

Authorized Official

Name: MRS. SHANA MORRIS
Title: DIRECTOR
Phone: (505) 374-6207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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