La Casa Psychosocial Rehabilitation | |
1010 S Garden Ave Roswell NM 88203-6866 | |
(575) 625-6130 | |
(575) 623-3325 |
Full Name | La Casa Psychosocial Rehabilitation |
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Speciality | Community/behavioral Health |
Location | 1010 S Garden Ave, Roswell, New Mexico |
Authorized Official Name and Position | Seferino Montano (CEO) |
Authorized Official Contact | 5753566695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Casa Psychosocial Rehabilitation Po Box 843 Portales NM 88130-0843 Ph: (575) 356-6695 | La Casa Psychosocial Rehabilitation 1010 S Garden Ave Roswell NM 88203-6866 Ph: (575) 625-6130 |
NPI Number | 1194111021 |
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Provider Enumeration Date | 04/07/2015 |
Last Update Date | 04/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194111021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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