Organization
DJ2 JUNCTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA GARLITZ-BEDENFIELD (CEO)
(575) 935-8522
Entity
Organization
Contact information
Practice address
1200 N THORNTON ST STE J, CLOVIS, NM 88101
(575) 935-8522
Mailing address
1200 N THORNTON ST STE J, CLOVIS, NM 88101-5508
(575) 935-8522
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0170731
NM
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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