| Golden Spread Rural Frontier | |
|
113 Walnut St Clayton NM 88415-3049 | |
| (505) 374-6207 | |
| (505) 374-0566 |
| Full Name | Golden Spread Rural Frontier |
|---|---|
| Speciality | Counselor |
| Location | 113 Walnut St, Clayton, New Mexico |
| Authorized Official Name and Position | Shana Morris (DIRECTOR) |
| Authorized Official Contact | 5053746207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Spread Rural Frontier Po Box 96 Clayton NM 88415-0096 Ph: (505) 374-6207 | Golden Spread Rural Frontier 113 Walnut St Clayton NM 88415-3049 Ph: (505) 374-6207 |
| NPI Number | 1356408256 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356408256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 02-381344-00-0 (New Mexico) | Primary |
Teambuilders Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 834 Main St, Clayton, NM 88415 Phone: 575-729-1953 Fax: 575-347-1190 |