Professional Counseling Associates of New Mexico
NPI #1467668814 in Tucumcari, New Mexico
Provider Information
- NPI Number
- 1467668814
- Entity Type
- Organization
- Organization Name
- Professional Counseling Associates of New Mexico
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 15, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 419 S 2ND ST
- City
- Tucumcari
- State
- New Mexico
- ZIP Code
- 88401-2859
- Phone
- (505) 461-3572
Authorized Official
- Name
- MR. RALPH L. MOYA I
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (505) 461-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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