Pms Western Nm Behavioral Health

NPI #1720189996 in Gallup, New Mexico

Provider Information

NPI Number: 1720189996
Entity Type: Organization
Organization Name: Pms Western Nm Behavioral Health
Primary Specialty: Case Management
Enumeration Date: Sep 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2025 E AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-4803
Phone: (505) 863-3828

Authorized Official

Name: AUDREY MICHELLE MARTINEZ
Title: CASE MANAGER
Phone: (505) 863-3828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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