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
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

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