| NPI | 1770122277 |
|---|---|
| Doing Business As | JON PERRY MPAS C-PA |
| Entity Type | Organization |
| Authorized Contact | JON E PERRY Owner 575-489-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-01-08 |