Santo Domingo Behavioral Health
NPI #1134248909 in Santo Domingo Pueblo, New Mexico
Provider Information
- NPI Number
- 1134248909
- Entity Type
- Organization
- Organization Name
- Santo Domingo Behavioral Health
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 200 TESUQUE STREET
- State
- New Mexico
- ZIP Code
- 87052-0130
- Phone
- (505) 465-2733
Authorized Official
- Name
- MR. LUCIANO CALABAZA
- Title
- DIRECTOR
- Phone
- (505) 465-2733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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