Nova Iii Behavioral Health Services | |
2418 E Highway 66 Gallup NM 87301-4767 | |
(505) 297-3967 | |
Not Available |
Full Name | Nova Iii Behavioral Health Services |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2418 E Highway 66, Gallup, New Mexico |
Authorized Official Name and Position | David Conejo (CEO) |
Authorized Official Contact | 9038201142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nova Iii Behavioral Health Services 2418 E Highway 66 Gallup NM 87301-4767 Ph: (505) 297-3967 | Nova Iii Behavioral Health Services 2418 E Highway 66 Gallup NM 87301-4767 Ph: (505) 297-3967 |
NPI Number | 1912667700 |
---|---|
Provider Enumeration Date | 12/21/2021 |
Last Update Date | 12/27/2021 |
Certification Date | 12/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912667700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
News Archive
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