Organization
SYNERGY BEHAVIORAL HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLAY PEARSON M.S. LPCC LADAC (DIRECTOR)
(505) 879-0404
Entity
Organization
Contact information
Practice address
211 W MESA AVE, SUITE #4, GALLUP, NM 87301-6382
(505) 862-9992
(505) 862-9992
Mailing address
PO BOX 3579, GALLUP, NM 87305-3579
(505) 726-9429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LPCC LADAC
NM
251S00000X
Community/Behavioral Health Agency
Primary
LPCC LADAC
NM
Other
Enumeration date
03/21/2014
Last updated
06/03/2016
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