Organization
GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RAY MARTINEZ LMSW (EXECUTIVE DIRECTOR)
(575) 748-1198
Entity
Organization
Contact information
Practice address
811 W TEXAS, ARTESIA, NM 88210
(575) 748-1198
(575) 748-7334
Mailing address
PO BOX 654, ARTESIA, NM 88210
(575) 748-1198
(575) 748-7334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06469 LMSW
NM
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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