Organization
JRW WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON WEST FNP, PMHNP (NURSE PRACTITIONER)
(619) 252-6187
Entity
Organization
Contact information
Practice address
506 W LA ENTRADA, CORRALES, NM 87048-8605
(619) 252-6187
Mailing address
PO BOX 6, CORRALES, NM 87048-0006
(619) 252-6187
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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