| Santo Domingo Behavioral Health Program | |
|
10 Tesuque St Santo Domingo Pueblo NM 87052-9998 | |
| (505) 465-2733 | |
| Not Available |
| Full Name | Santo Domingo Behavioral Health Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 Tesuque St, Santo Domingo Pueblo, New Mexico |
| Authorized Official Name and Position | Luciano Calabaza (DIRECTOR) |
| Authorized Official Contact | 5054652733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santo Domingo Behavioral Health Program Po Box 130 Santo Domingo Pueblo NM 87052-0130 Ph: (505) 465-2733 | Santo Domingo Behavioral Health Program 10 Tesuque St Santo Domingo Pueblo NM 87052-9998 Ph: (505) 465-2733 |
| NPI Number | 1396944211 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396944211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Santo Domingo Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Tesuque Street, Santo Domingo Pueblo, NM 87052 Phone: 505-465-2733 Fax: 505-465-0433 | |
Kewa Pueblo Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West Highway 22, Santo Domingo Pueblo, NM 87052 Phone: -- |