Santa Fe Mountain Center INC
NPI #1861695769 in Tesuque, New Mexico
Provider Information
- NPI Number
- 1861695769
- Entity Type
- Organization
- Organization Name
- Santa Fe Mountain Center INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Jul 1, 2020
Practice Location
- Address
- 1524 BISHOPS LODGE ROAD
- City
- Tesuque
- State
- New Mexico
- ZIP Code
- 87574-0449
- Phone
- (505) 983-6158
Authorized Official
- Name
- JUAN DIXON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (505) 490-3549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| MR. Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC |
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