| North Central Community Based Services, Inc. | |
|
16542 Hwy 84 Chama NM 87520-0617 | |
| (575) 756-2327 | |
| (575) 756-1897 |
| Full Name | North Central Community Based Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16542 Hwy 84, Chama, New Mexico |
| Authorized Official Name and Position | Patricia Serna (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5757562327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Community Based Services, Inc. Po Box 617 16542 Hwy 84 Chama NM 87520-0617 Ph: (575) 756-2327 | North Central Community Based Services, Inc. 16542 Hwy 84 Chama NM 87520-0617 Ph: (575) 756-2327 |
| NPI Number | 1578794871 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578794871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
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