Healthcare Provider Details

I. General information

NPI: 1962318030
Provider Name (Legal Business Name): CARE FOR YOU HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 WALNUT ST
CLAYTON NM
88415-2914
US

IV. Provider business mailing address

606 WALNUT ST
CLAYTON NM
88415-2914
US

V. Phone/Fax

Practice location:
  • Phone: 806-268-3204
  • Fax:
Mailing address:
  • Phone: 806-268-3204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. PRESTON EDWARD FARNUM
Title or Position: CEO/PHMNP
Credential: PMHNP
Phone: 806-268-3204