Dungarvin New Mexico, LLC
NPI #1871200477 in Gallup, New Mexico
Provider Information
- NPI Number
- 1871200477
- Entity Type
- Organization
- Organization Name
- Dungarvin New Mexico, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DUNGARVIN GROUP, INC.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 2, 2022
- Last Updated
- Apr 27, 2023
Practice Location
- Address
- 513B WILLIAMS ST
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-4799
- Phone
- (505) 722-4383
Authorized Official
- Name
- LORI KRESS
- Title
- CEO
- Phone
- (651) 699-0206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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