Organization
ASPEN GROVE CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON T TAYLOR LCSW, LADAC (CHEIF OPERATING OFFICER)
(505) 330-1079
Entity
Organization
Contact information
Practice address
3001 NORTHRIDGE DR # 7, FARMINGTON, NM 87401-2084
(505) 330-1079
Mailing address
PO BOX 134, FARMINGTON, NM 87499-0134
(505) 330-1079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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