BETHPHAGE

NPI: 1538371521 · Organization · Active

Primary Specialty

Community/Behavioral Health Agency
Community/Behavioral Health

Practice Location

920 LOBO CANYON RD
SUITE 5A
GRANTS, NM 87020-2173 Map ↗
Phone: 505-287-9333
Fax: 505-287-9336

All Specialties & Licenses

  • Community/Behavioral Health Agency Primary

NPI Registration

Enumerated: 2007-05-04

Last CMS Update: 2020-08-22