Organization
CHAVES COUNTY CASA PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE L CLOUTIER (EXECUTIVE DIRECTOR)
(505) 625-0112
Entity
Organization
Contact information
Practice address
500 N MAIN ST, #310, ROSWELL, NM 88201-4729
(505) 625-0112
(505) 625-0213
Mailing address
500 NORTH MAIN, #310, ROSWELL, NM 88201
(505) 625-0112
(505) 625-0213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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