| Child And Family Wellness, Pc | |
|
102 E High St Tucumcari NM 88401-2726 | |
| (575) 461-6200 | |
| (575) 461-0404 |
| Full Name | Child And Family Wellness, Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 102 E High St, Tucumcari, New Mexico |
| Authorized Official Name and Position | Karen Raburn (OWNER) |
| Authorized Official Contact | 5754616200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Wellness, Pc 102 E High St Tucumcari NM 88401-2726 Ph: (575) 461-6200 | Child And Family Wellness, Pc 102 E High St Tucumcari NM 88401-2726 Ph: (575) 461-6200 |
| NPI Number | 1801207105 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801207105 | NPI | - | NPPES |
| 1881726388 | Other | OWNER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 96-388 (New Mexico) | Primary |
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