DESERT VISTA COUNSELING AND BEHAVIORAL HEALTH SERVICE LLC
Respite Care Facility at Angelina, Anthony, NM

License number
New Mexico 251800000X
Category
Respite Care Facility
Type
Respite Care
Owner
Name: MR. GUILLERMO GOMEZ JR.
Title: CEO
Phone: (915) 355-0497
Address
Address
229 Angelina, Anthony, NM 88081
National Provider ID: 1710259668
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT VISTA COUNSELING AND BEHAVIORAL HEALTH SERVICE, LLC

Anthony, NM

Status:
Inactive
Industry:
Services-Misc
Registration:
Oct 20, 2009
Addresses:
229 Angelina Blvd   , Chaparral, NM 88081 (Mailing)
229 Angelina, Anthony, NM 88081
State ID:
4226056
Business type:
Domestic Limited Liability Company
Chief Executive Officer, Clinical Mental Health Counselors:
Deb Reeves (Organizer, Principal),Guillermo Gomez (Chief Executive Officer, Clinical Mental Health Counselor)

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