Individual
MACK J NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 277-9318
Mailing address
1990 FENTON ST APT 13, LAKEWOOD, CO 80214-1646
(505) 390-3379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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