Hozho Center For Personal Enhancement | |
506 W Highway 66 #4 Gallup NM 87301-6468 | |
(505) 870-1483 | |
(866) 936-0697 |
Full Name | Hozho Center For Personal Enhancement |
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Speciality | Community/behavioral Health |
Location | 506 W Highway 66, Gallup, New Mexico |
Authorized Official Name and Position | Kayt Gutierrez (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5058701483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hozho Center For Personal Enhancement 506 W Highway 66 #4 Gallup NM 87301-6468 Ph: (505) 870-1483 | Hozho Center For Personal Enhancement 506 W Highway 66 #4 Gallup NM 87301-6468 Ph: (505) 870-1483 |
NPI Number | 1730445297 |
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Provider Enumeration Date | 04/09/2012 |
Last Update Date | 04/09/2012 |
Identifier | Type | State | Issuer |
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1730445297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4200184 (New Mexico) | Primary |
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