| Grammy's House Artesia Domestic Violence Shelter Inc. | |
|
811 W Texas Artesia NM 88210 | |
| (575) 748-1198 | |
| (575) 748-7334 |
| Full Name | Grammy's House Artesia Domestic Violence Shelter Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 811 W Texas, Artesia, New Mexico |
| Authorized Official Name and Position | David Ray Martinez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5757481198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grammy's House Artesia Domestic Violence Shelter Inc. Po Box 654 Artesia NM 88210 Ph: (575) 748-1198 | Grammy's House Artesia Domestic Violence Shelter Inc. 811 W Texas Artesia NM 88210 Ph: (575) 748-1198 |
| NPI Number | 1396971222 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396971222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 06469 LMSW (New Mexico) | Primary |
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