| 4 All Of Us Transitional Improvements, Inc | |
|
712 Rencher St Clovis NM 88101-6560 | |
| (575) 218-3325 | |
| (575) 218-3326 |
| Full Name | 4 All Of Us Transitional Improvements, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 712 Rencher St, Clovis, New Mexico |
| Authorized Official Name and Position | Cherry L Gooch (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 5752183326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 All Of Us Transitional Improvements, Inc 712 Rencher St Clovis NM 88101-6560 Ph: (575) 218-3325 | 4 All Of Us Transitional Improvements, Inc 712 Rencher St Clovis NM 88101-6560 Ph: (575) 218-3325 |
| NPI Number | 1134841919 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134841919 | NPI | - | NPPES |
| 6908179 | Other | NM | SOS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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