Hozho Center For Personal Enhancement
Community/Behavioral Health in Gallup, NM. Organization (NPI-2).
NPI number1285088963
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1285088963
- Entity type
- Organization (NPI-2)
- Legal business name
- Hozho Center For Personal Enhancement
- Organization subpart
- No
- Enumeration date
- Apr 19, 2016
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 486 | NM | Yes |
| 104100000X | Social Worker | M-0777 | NM | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0180441 | NM |
Practice location
2915 W Historic Hwy 66 Room 1203Gallup, NM 87301
Phone 505-870-1483 · Fax 505-870-1483
Mailing address
Po Box 3809Gallup, NM 87305-9998
Phone 505-330-1885 · Fax 505-870-1483
Authorized official
Ken Collins
Executive Director
5053301885
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