Organization
COTTONWOOD CLINICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D DUTREMAINE LISW (EXECUTIVE DIRECTOR)
(505) 564-3733
Entity
Organization
Contact information
Practice address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
(505) 564-3788
Mailing address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
(505) 564-3788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0090031
NM
101YM0800X
Mental Health Counselor
I-06858
NM
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
07/10/2025
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