| Chaves County Casa Program | |
|
500 N Main St #310 Roswell NM 88201-4729 | |
| (505) 625-0112 | |
| (505) 625-0213 |
| Full Name | Chaves County Casa Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 N Main St, Roswell, New Mexico |
| Authorized Official Name and Position | Carrie L Cloutier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5056250112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaves County Casa Program 500 North Main #310 Roswell NM 88201 Ph: (505) 625-0112 | Chaves County Casa Program 500 N Main St #310 Roswell NM 88201-4729 Ph: (505) 625-0112 |
| NPI Number | 1871710657 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871710657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Shekinah Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 S Wyoming Ave, Roswell, NM 88203 Phone: 575-578-9450 | |
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