| Greater Santa Rosa Council On Alcoholism | |
|
1047 Lake Dr Santa Rosa NM 88435-2561 | |
| (575) 472-5383 | |
| Not Available |
| Full Name | Greater Santa Rosa Council On Alcoholism |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1047 Lake Dr, Santa Rosa, New Mexico |
| Authorized Official Name and Position | Cayetana Zamora (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5754725383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Santa Rosa Council On Alcoholism 419 S 2nd St Tucumcari NM 88401-2859 Ph: (505) 461-3572 | Greater Santa Rosa Council On Alcoholism 1047 Lake Dr Santa Rosa NM 88435-2561 Ph: (575) 472-5383 |
| NPI Number | 1962580175 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962580175 | NPI | - | NPPES |
| I0930 | Other | NM | LISW |
| NMA3588 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LISW 1041CO700X (New Mexico) | Primary |
Sunrise Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S 3rd St, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 | |
Sunrise Clinics Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 877-651-0289 | |
Greater Santa Rosa Council On Alcoholism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Lake Dr, Santa Rosa, NM 88435 Phone: 575-472-5383 Fax: 575-472-5384 | |
Teambuilders Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S 4th St, Santa Rosa, NM 88435 Phone: 575-472-0745 Fax: 575-472-0746 | |
Greater Santa Rosa Council On Alcoholism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Lake Dr, Santa Rosa, NM 88435 Phone: 575-472-5383 |