Gang Risk Intervention Project, Incorporated

NPI #1881908457 in Silver City, New Mexico

Provider Information

NPI Number: 1881908457
Entity Type: Organization
Organization Name: Gang Risk Intervention Project, Incorporated
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 5, 2010
Last Updated: Aug 5, 2010

Practice Location

Address: 212 E 12TH ST
City: Silver City
State: New Mexico
ZIP Code: 88061-6408
Phone: (575) 388-2443

Authorized Official

Name: MR. KEVIN BENNETT FAST SR.
Title: PRESIDENT
Phone: (575) 534-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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