Organization
PMS WESTERN NM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORRIE JEAN LAYCOCK (PSR AIDE)
(505) 863-3828
Entity
Organization
Contact information
Practice address
1 IDAHO CIR, GALLUP, NM 87301-5443
(505) 863-3828
Mailing address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up