Eight Northern Indian Pueblos

NPI #1679007744 in Ohkay Owingeh, New Mexico

Provider Information

NPI Number
1679007744
Entity Type
Organization
Organization Name
Eight Northern Indian Pueblos
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Apr 17, 2017
Last Updated
Apr 17, 2017

Practice Location

Address
579 WHITE SWAN RD
Address 2
327 EAGLE DRIVE
ZIP Code
87566
Phone
(505) 852-2788

Authorized Official

Name
MS. DOROTHY ANNE FORBES, LCSW
Title
PROGRAM DIRECTOR
Phone
(505) 692-5034

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility
Community Based Residential Treatment Facility, Mental Illness

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