| Fisher's Playhouse | |
|
2220 Boxwood Cir Portales NM 88130-9356 | |
| (850) 972-8193 | |
| Not Available |
| Full Name | Fisher's Playhouse |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2220 Boxwood Cir, Portales, New Mexico |
| Authorized Official Name and Position | Dempsey Fisher (OWNER) |
| Authorized Official Contact | 8509728193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher's Playhouse 2220 Boxwood Cir Portales NM 88130-9356 Ph: (850) 972-8193 | Fisher's Playhouse 2220 Boxwood Cir Portales NM 88130-9356 Ph: (850) 972-8193 |
| NPI Number | 1174378541 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174378541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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