Organization · Type 2 NPI
Dungarvin New Mexico, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gallup, NM
Practice location
513B Williams St
Gallup, NM 87301-4799
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Gallup
About NPI 1871200477
Dungarvin New Mexico, LLC's National Provider Identifier is 1871200477, issued on Nov 2, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gallup, NM. The record was last updated on Apr 27, 2023.