Grambling Therapy Inc | |
4686 Corrales Rd Corrales NM 87048-8610 | |
(505) 266-7693 | |
(505) 890-4223 |
Full Name | Grambling Therapy Inc |
---|---|
Speciality | Counselor - Professional |
Location | 4686 Corrales Rd, Corrales, New Mexico |
Authorized Official Name and Position | Gail Grambling Harrison (PRESIDENT) |
Authorized Official Contact | 5052667693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grambling Therapy Inc 4686 Corrales Rd Corrales NM 87048-8610 Ph: (505) 266-7693 | Grambling Therapy Inc 4686 Corrales Rd Corrales NM 87048-8610 Ph: (505) 266-7693 |
NPI Number | 1285770198 |
---|---|
Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285770198 | NPI | - | NPPES |
000B8044 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0642 (New Mexico) | Primary |
News Archive
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