Picuris Pueblo
NPI #1073181061 in Penasco, New Mexico
Provider Information
- NPI Number
- 1073181061
- Entity Type
- Organization
- Organization Name
- Picuris Pueblo
- Primary Specialty
- Case Management
- Enumeration Date
- Jun 15, 2021
- Last Updated
- Mar 26, 2025
Practice Location
- Address
- 201 A PUEBLO VIEW ROAD
- City
- Penasco
- State
- New Mexico
- ZIP Code
- 87553
- Phone
- (575) 587-2519
Authorized Official
- Name
- CRAIG QUANCHELLO, LMSW,LADAC,CADC,CS
- Title
- GOVERNOR, PICURIS PUEBLO
- Phone
- (575) 587-2519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Case Manager/Care Coordinator |
| Community Health Worker |
| Community/Behavioral Health |
| Ambulance - Land Transport — Land Transport |
| Non-emergency Medical Transport (VAN) |
| Case Management |
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