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419 S 2nd St Tucumcari NM 88401-2859 | |
(505) 461-3572 | |
(505) 461-3572 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 419 S 2nd St, Tucumcari, New Mexico |
Authorized Official Name and Position | Ralph Leonard Moya (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5054613572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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419 S 2nd St Tucumcari NM 88401-2859 Ph: (505) 461-3572 | 419 S 2nd St Tucumcari NM 88401-2859 Ph: (505) 461-3572 |
NPI Number | 1962580175 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1962580175 | NPI | - | NPPES |
I0930 | Other | NM | LISW |
NMA3588 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | LISW 1041CO700X (New Mexico) | Primary |
New Day Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 706 S 1st St Ste 112, Tucumcari, NM 88401 Phone: 575-403-7631 | |
Huffman Counseling And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 108 W Center St, Tucumcari, NM 88401 Phone: 575-403-6114 | |