Provider First Line Business Practice Location Address:
CROWNPOINT HEALTHCARE FACILITY/NEW HORIZON WELLNESS CTR
Provider Second Line Business Practice Location Address:
HWY 371 & NAVAJO ROUTE 9
Provider Business Practice Location Address City Name:
CROWNPOINT
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87313-0358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-786-6309
Provider Business Practice Location Address Fax Number:
505-786-2519
Provider Enumeration Date:
01/05/2007