Organization
RONIN BEHAVIOURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD ALBERT DAVIS LISW (OWNER/THERAPIST)
(575) 650-2216
Entity
Organization
Contact information
Practice address
1309 E GRIGGS AVE, LAS CRUCES, NM 88001-2905
(575) 650-2216
Mailing address
PO BOX 6593, LAS CRUCES, NM 88006-6593
(575) 650-2216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245380732
—
NM
Enumeration date
06/04/2008
Last updated
06/04/2008
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