Individual
MR. JOSEPH MATTHEW CAUTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 ANDREA DR, FARMINGTON, NM 87401-6726
(505) 324-5855
Mailing address
851 ANDREA DR, SUITE 4 BLD. E, FARMINGTON, NM 87401-6726
(505) 324-5855
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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