Pueblo of Isleta Behavioral Health

NPI #1245417104 in Isleta, New Mexico

Provider Information

NPI Number: 1245417104
Entity Type: Organization
Organization Name: Pueblo of Isleta Behavioral Health
Subpart: Yes (part of a larger organization)
Parent Organization: PUEBLO OF ISLETA HEALTH CENTER
Primary Specialty: Psychologist - Family
Enumeration Date: Jan 23, 2008
Last Updated: Jan 23, 2008

Practice Location

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

Authorized Official

Name: BARBARTA A MONTANO
Title: BUSINESS MANAGER
Phone: (505) 869-4863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Family — Family	103TF0000X	Primary

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