Aspen Grove Clinical Services LLC
Social Worker, Clinical in Farmington, NM. Organization (NPI-2).
NPI number1235079864
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1235079864
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Grove Clinical Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2026
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3001 Northridge Dr # 7Farmington, NM 87401-2084
Phone 505-330-1079
Mailing address
Po Box 134Farmington, NM 87499-0134
Phone 505-330-1079
Authorized official
Clinton T Taylor
Cheif Operating Officer
5053301079
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