Whalio Doctors

NPI 1306318423

Tohatchi Area of Opportunity & Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gallup, NM

Practice location

Address
1658 S Second St, Gallup, NM 87301-5817
Phone
(505) 722-9287
Fax
(505) 722-9189
Mailing address
PO Box 49, Tohatchi, NM 87325-0049

Authorised official

Name
Kimber Crowe
Title
Chief Executive Officer
Phone
(505) 722-9287

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1306318423
Entity type
Organization
NPI issued
31 Dec 2018
Record last updated
31 Dec 2018

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.