NPI 1003917261

Pms Western Nm Behavioral Health

Organisation Developmentally Disabled Services Day Training Agency Gallup, NM

Practice location

Address: 1 Idaho Cir, Gallup, NM 87301-5443
Phone: (505) 863-3828
Mailing address: 2025 E Aztec Ave, Gallup, NM 87301-4803

Authorised official

Name: Dorrie Jean Laycock
Title: Psr Aide
Phone: (505) 863-3828

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in New Mexico →

Registry record

NPI: 1003917261
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 14 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.