Gallup Outpatient Treatment Center

LBN: Gallup Outpatient Treatment Center
Gallup Outpatient Treatment Center is an health care organization with primary practice located at 300 West Nizhoni Blvd. Suite A, Gallup NM 87301. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gallup Outpatient Treatment Center can be contacted via phone (505) 722-9470, or through John, Vera via phone (505) 722-9470.

Contact Information

Primary practice address
300 West Nizhoni Blvd. Suite A Gallup NM 87301
Phone: (505) 722-9470
Fax: (505) 722-9570
Website:
Map and Directions
Authorized official contact:
Name: John, Vera LPCC
Phone: (505) 722-9470

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0131901 New Mexico

Profile Details

NPI number 1588925788
LBN Legal business name Gallup Outpatient Treatment Center
DBA Doing business as
Authorized official John, Vera LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2012
Last updated Mar 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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