| Glu Factory, Inc | |
|
1200 N Thornton St Suite F Clovis NM 88101-5508 | |
| (575) 935-4458 | |
| Not Available |
| Full Name | Glu Factory, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 N Thornton St, Clovis, New Mexico |
| Authorized Official Name and Position | Yvette Pickett (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 5759354458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glu Factory, Inc 1200 N Thornton St Suite F Clovis NM 88101-5508 Ph: (575) 935-4458 | Glu Factory, Inc 1200 N Thornton St Suite F Clovis NM 88101-5508 Ph: (575) 935-4458 |
| NPI Number | 1033592894 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033592894 | NPI | - | NPPES |
| 6533578 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (NU) | Secondary |
| 251B00000X | Case Management | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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