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1912667700
NOVA III BEHAVIORAL HEALTH SERVICES
GALLUP, NM
NPI
1912667700
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Entity Type
Organization
Authorized Contact
DAVID CONEJO
CEO
903-820-1142
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-21
Last Update Date
2021-12-27
Business Address
NOVA III BEHAVIORAL HEALTH SERVICES
2418 E HIGHWAY 66
GALLUP, NM 87301-4767
Phone number: 505-297-3967
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Mailing Address
NOVA III BEHAVIORAL HEALTH SERVICES
2418 E HIGHWAY 66
GALLUP, NM 87301-4767
Phone number: 505-297-3967
Copy
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