Organization Name: | EPOCH BEHAVIORAL HEALTHCARE INC |
NPI Number: | 1023307253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANA L SMITH (CEO) |
Mailing Address: | 118 S Water St Las Cruces |
State: | NM US |
Postal Code: | 880011208 |
Phone Number: | 8554693242 |
Fax Number: | 8553242329 |
NPI Enumeration Date: | 03/28/2011 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |