Pueblo of Isleta

NPI #1114040714 in Isleta, New Mexico

Provider Information

NPI Number
1114040714
Entity Type
Organization
Organization Name
Pueblo of Isleta
Subpart
Yes (part of a larger organization)
Parent Organization
PUEBLO OF ISLETA
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 9, 2007
Last Updated
May 18, 2017

Practice Location

Address
01 SAGEBRUSH ST
City
Isleta
ZIP Code
87022-0000
Phone
(505) 869-4863

Authorized Official

Name
MRS. VOLELLE K ZAMORA
Title
CEO
Phone
(505) 869-4094

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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