NPI 1497318976

Rockin J Reawakenings, INC

Organisation Voluntary or Charitable Agency Prewitt, NM

Practice location

Address: 234 County Road 19, Prewitt, NM 87045-8704
Phone: (505) 409-7764
Mailing address: PO Box 555, Prewitt, NM 87045-0555

Authorised official

Name: Jess Alan Butler
Title: Director
Phone: (505) 409-7764

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in New Mexico →

Registry record

NPI: 1497318976
Entity type: Organization
NPI issued: 19 Apr 2019
Record last updated: 9 May 2019

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.