Organization
SUBSTANCE ABUSE & MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GARLAND LADAC,CS CFAE (DIRECTOR)
(575) 257-8942
Entity
Organization
Contact information
Practice address
108 SERVICE RD, RUIDOSO, NM 88345-6045
(575) 257-8942
(575) 257-8943
Mailing address
108 SERVICE RD, RUIDOSO, NM 88345-6045
(575) 257-8942
(575) 257-8943
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
006181
NM
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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