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General NPI Number Information
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NPI Number | 1790695849
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Entity Type | Organization
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Legal Business Name | COTTONWOOD CLINICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 228 N SCHWARTZ AVE
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City | FARMINGTON
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State | NM
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Zip | 87401-5547
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Country | US
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Telephone | 505-327-4584
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Fax |
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Provider Business Mailing Address
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Address Line | 653 W ARRINGTON ST
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City | FARMINGTON
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State | NM
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Zip | 87401-8513
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Country | US
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Telephone | 505-564-3733
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Fax | 505-564-3788
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Authorized Official
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Title or Position | COO
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Name | STEFANI GURLEY
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Credential |
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Telephone | 505-564-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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