Organization
DESERT WILLOW BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MANUEL ZAVALA DNP (DOCTOR OF NURSING PRACTICE)
(575) 250-3130
Entity
Organization
Contact information
Practice address
930 12TH ST UNIT 670, ALAMOGORDO, NM 88311-5828
(575) 250-3130
Mailing address
930 12TH ST UNIT 670, ALAMOGORDO, NM 88311-5828
(575) 250-3130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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