Disability Services Incorporated
Community/Behavioral Health in Gallup, NM. Organization (NPI-2).
NPI number1811048390
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1811048390
- Entity type
- Organization (NPI-2)
- Legal business name
- Disability Services Incorporated
- Organization subpart
- No
- Enumeration date
- Jan 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Mckinley Opportunity & Resource Enterprises (Former Legal Business Name)
Practice location
503 Williams StBldg. #16
Gallup, NM 87301-4799
Phone 505-722-4383 · Fax 505-722-2191
Mailing address
Po Box 1296Gallup, NM 87305-1296
Phone 505-722-4383 · Fax 505-722-2191
Authorized official
Ellen I Lacayo
Executive Director
5057224383
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