Santo Domingo Behavioral Health Program
NPI #1396944211 in Santo Domingo Pueblo, New Mexico
Provider Information
- NPI Number
- 1396944211
- Entity Type
- Organization
- Organization Name
- Santo Domingo Behavioral Health Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 10 TESUQUE ST
- State
- New Mexico
- ZIP Code
- 87052-9998
- Phone
- (505) 465-2733
Authorized Official
- Name
- MR. LUCIANO CALABAZA, LADAC
- Title
- DIRECTOR
- Phone
- (505) 465-2733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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