Organization
HOZHO CENTER FOR PERSONAL ENHANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAYT GUTIERREZ M.A., CPSW (EXECUTIVE DIRECTOR)
(505) 870-1483
Entity
Organization
Contact information
Practice address
506 W HIGHWAY 66, #4, GALLUP, NM 87301-6468
(505) 870-1483
(866) 936-0697
Mailing address
506 W HIGHWAY 66, #4, GALLUP, NM 87301-6468
(505) 870-1483
(866) 936-0697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4200184
NM
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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