Organization
MCKINLEY COUNTY
Active
Organization
MCKINLEY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM TRUJILLO (COUNTY MANAGER)
(505) 863-1400
Entity
Organization
Contact information
Practice address
207 W HILL AVE, GALLUP, NM 87301-4615
(505) 863-1400
Mailing address
PO BOX 70, GALLUP, NM 87305-0070
(505) 863-1400
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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