BEVERLY MICHAEL

NPI: 1295910065 · Organization · Active

Primary Specialty

Community/Behavioral Health Agency
Community/Behavioral Health

Practice Location

1109 MESA BLVD
SUITE D
GRANTS, NM 87020-3038 Map ↗
Phone: 505-287-3773
Fax: 505-287-5115

All Specialties & Licenses

  • Community/Behavioral Health Agency Primary (license: 03-074959-00-0, NM)

NPI Registration

Enumerated: 2007-12-29

Last CMS Update: 2008-07-07