NPI 1063643237

McKinley County

Organisation Early Intervention Provider Agency Gallup, NM

Practice location

Address: 207 W Hill Ave, Gallup, NM 87301-4615
Phone: (505) 863-1400
Mailing address: PO Box 70, Gallup, NM 87305-0070

Authorised official

Name: Tom Trujillo
Title: County Manager
Phone: (505) 863-1400

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New Mexico →

Registry record

NPI: 1063643237
Entity type: Organization
NPI issued: 5 Aug 2009
Record last updated: 5 Aug 2009

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.