Organization
FORENSIC INTERVENTION CONSORTIUM OF DONA ANA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON GURLEY (EXECUTIVE DIRECTOR)
(575) 523-8015
Entity
Organization
Contact information
Practice address
225 E IDAHO AVE, SUITE 35, LAS CRUCES, NM 88005-3257
(575) 523-8015
(575) 523-8418
Mailing address
PO BOX 16466, LAS CRUCES, NM 88004-6466
(575) 523-8015
(575) 523-8418
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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