Organization
CHILD AND FAMILY WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN RABURN MD (OWNER)
(575) 461-6200
Entity
Organization
Contact information
Practice address
102 E HIGH ST, TUCUMCARI, NM 88401-2726
(575) 461-6200
(575) 461-0404
Mailing address
102 E HIGH ST, TUCUMCARI, NM 88401-2726
(575) 461-6200
(575) 461-0404
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
96-388
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881726388
OWNER NPI
—
Enumeration date
05/08/2014
Last updated
05/08/2014
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