Forensic Intervention Consortium of Dona Ana County
NPI #1932339108 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1932339108
- Entity Type
- Organization
- Organization Name
- Forensic Intervention Consortium of Dona Ana County
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Jul 21, 2009
Practice Location
- Address
- 225 E IDAHO AVE
- Address 2
- SUITE 35
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88005-3257
- Phone
- (575) 523-8015
Authorized Official
- Name
- RON GURLEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (575) 523-8015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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