Provider First Line Business Practice Location Address:
MAGDALENA CABIN COUNSELING
Provider Second Line Business Practice Location Address:
910 FIRST ST / HWY 60
Provider Business Practice Location Address City Name:
MAGDALENA
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-854-3292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2018