Mescalero Apache Tribe
NPI #1346748282 in Mescalero, New Mexico
Provider Information
- NPI Number
- 1346748282
- Entity Type
- Organization
- Organization Name
- Mescalero Apache Tribe
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MESCALERO APACHE TRIBE
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 311 WAR BONNET DRIVE
- City
- Mescalero
- State
- New Mexico
- ZIP Code
- 88340
- Phone
- (575) 464-4301
Authorized Official
- Name
- JOELLYN PAULINE MAGOOSH
- Title
- DIRECTOR
- Phone
- (575) 464-9274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| MR. Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC |
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