Whalio Doctors

NPI 1740659804

Totah Behavioral Health Authority

Organisation Case Management Agency Farmington, NM

Practice location

Address
1615 Ojo Court, Farmington, NM 87401
Phone
(505) 564-4804
Fax
(505) 564-4857
Mailing address
PO Box 5190, Farmington, NM 87499-5190

Authorised official

Name
Uriah Dixon Simpson
Title
Community Support Worker
Phone
(505) 564-4804

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 115889273 (NM)

Registry record

NPI
1740659804
Entity type
Organization
NPI issued
18 Sep 2015
Record last updated
18 Sep 2015

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.