Organization
EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC
Active
Other names
Pathway House RTC & IOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE D LOVATO (CEO/OWNER)
(505) 762-6091
Entity
Organization
Contact information
Practice address
712 RENCHER ST, 316 WEST 7TH STREET, CLOVIS, NM 88101-6560
(505) 763-5003
(505) 762-2815
Mailing address
PO BOX 582, 712 RENCHER, CLOVIS, NM 88102-0582
(505) 762-6091
(505) 762-2815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M1703
—
NM
01
—
NM600401
VALUE OPTION ID #
NM
Enumeration date
10/11/2006
Last updated
09/11/2025
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