PMS WESTERN NM BEHAVIORAL HEALTH

GALLUP, NM
NPI1003917261
Entity TypeOrganization
Authorized ContactDORRIE JEAN LAYCOCK
Psr Aide
505-863-3828
Organization Subpart ?No
Primary Taxonomy251C00000X 
Enumeration Date2006-09-26
Last Update Date2008-08-14
Business Address
PMS WESTERN NM BEHAVIORAL HEALTH
1 IDAHO CIR
GALLUP, NM 87301-5443
Phone number: 505-863-3828
Mailing Address
PMS WESTERN NM BEHAVIORAL HEALTH
2025 E AZTEC AVE
GALLUP, NM 87301-4803
Phone number: