Organization
ENMRSH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN HOUFEK (PRESIDENT & C.E.O.)
(575) 762-3718
Entity
Organization
Contact information
Practice address
2700 E 7TH ST, CLOVIS, NM 88101-1708
(575) 762-3718
(575) 763-4158
Mailing address
2700 E 7TH ST, CLOVIS, NM 88101-1708
(575) 762-3718
(575) 763-4158
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1808
—
NM
05
—
E2543
—
NM
Enumeration date
10/23/2006
Last updated
08/23/2016
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