Nova III Behavioral Health Services
NPI #1912667700 in Gallup, New Mexico
Provider Information
- NPI Number
- 1912667700
- Entity Type
- Organization
- Organization Name
- Nova III Behavioral Health Services
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 21, 2021
- Last Updated
- Dec 27, 2021
Practice Location
- Address
- 2418 E HIGHWAY 66
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-4767
- Phone
- (505) 297-3967
Authorized Official
- Name
- MR. DAVID CONEJO
- Title
- CEO
- Phone
- (903) 820-1142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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