Organization Name: | GOLDEN SPREAD RURAL FRONTIER |
NPI Number: | 1356408256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANA MORRIS (DIRECTOR) |
Mailing Address: | 113 Walnut St Clayton |
State: | NM US |
Postal Code: | 884153049 |
Phone Number: | 5053746207 |
Fax Number: | 5053740566 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 02-381344-00-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |