|
| |
|
407 W Highway 66 The Lexington Hotel Gallup NM 87301-6417 | |
| (505) 722-0066 | |
| (505) 722-2329 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 407 W Highway 66, Gallup, New Mexico |
| Authorized Official Name and Position | Sanjay Choudhrie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5057220066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
407 W Highway 66 The Lexington Hotel Gallup NM 87301-6417 Ph: (505) 722-0066 | 407 W Highway 66 The Lexington Hotel Gallup NM 87301-6417 Ph: (505) 722-0066 |
| NPI Number | 1720520323 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720520323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Synapse Integrated Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 S First St, Gallup, NM 87301 Phone: 505-397-7197 | |
Gallup Child And Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 W Mesa Ave, Gallup, NM 87301 Phone: 505-862-9776 | |
Four Corners Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Second St Ste A, Gallup, NM 87301 Phone: 507-722-2923 | |
Hozho Center For Personal Enhancement Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2915 W Historic Hwy 66 Room 1203, Gallup, NM 87301 Phone: 505-870-1483 Fax: 505-870-1483 | |
Santa Fe Recovery Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Aztec Ave, Gallup, NM 87301 Phone: 505-413-3447 | |
Gallup Community Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-397-5381 Fax: 877-396-1184 |