Organization
ZION HEALING NM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLENE RAE MANNING (OWNER)
(505) 215-9639
Entity
Organization
Contact information
Practice address
4001 N. BUTLER AVE STE 3101, FARMINGTON, NM 87401-2365
(505) 215-9639
Mailing address
4001 N. BUTLER AVE STE 3101, FARMINGTON, NM 87401-2365
(505) 215-9639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/27/2024
Last updated
03/06/2025
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