Pueblo of Acoma
NPI #1710343942 in Acoma, New Mexico
Provider Information
- NPI Number
- 1710343942
- Entity Type
- Organization
- Organization Name
- Pueblo of Acoma
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 4, 2016
- Last Updated
- Jul 1, 2016
Practice Location
- Address
- 45 PINSBAARI DRIVE
- City
- Acoma
- State
- New Mexico
- ZIP Code
- 87034-0328
- Phone
- (505) 552-6661
Authorized Official
- Name
- MICHAEL PAHOS, LCSW, LADAC
- Title
- LEAD CLINICIAN, BHS
- Phone
- (505) 552-6661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Early Intervention Provider Agency |
| In Home Supportive Care |
| Private Vehicle |
| Community/Behavioral Health |
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