Organization · Type 2 NPI
Pangea Medical LLC
Adult Mental Health Clinic/Center · Roswell, NM
NPI number
1457619934
Active
Practice location
2604 Gaye Dr
Roswell, NM 88201-3427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | MD2011-0547 (NM) |
| Primary Care Clinic/Center | 261QP2300X | MD2011-0547 (NM) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1457619934
Pangea Medical LLC's National Provider Identifier is 1457619934, issued on May 2, 2012. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Roswell, NM. The record was last updated on May 2, 2012.