Ronin Behavioural Health | |
1309 E Griggs Ave Las Cruces NM 88001-2905 | |
(575) 650-2216 | |
Not Available |
Full Name | Ronin Behavioural Health |
---|---|
Speciality | Community/behavioral Health |
Location | 1309 E Griggs Ave, Las Cruces, New Mexico |
Authorized Official Name and Position | Howard Albert Davis (OWNER/THERAPIST) |
Authorized Official Contact | 5756502216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ronin Behavioural Health Po Box 6593 Las Cruces NM 88006-6593 Ph: (575) 650-2216 | Ronin Behavioural Health 1309 E Griggs Ave Las Cruces NM 88001-2905 Ph: (575) 650-2216 |
NPI Number | 1548429541 |
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Provider Enumeration Date | 06/04/2008 |
Last Update Date | 06/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548429541 | NPI | - | NPPES |
1245380732 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (New Mexico) | Primary |
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