Greater Santa Rosa Council On Alcoholism
NPI #1932313400 in Santa Rosa, New Mexico
Provider Information
- NPI Number
- 1932313400
- Entity Type
- Organization
- Organization Name
- Greater Santa Rosa Council On Alcoholism
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 10, 2007
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- 1047 LAKE DR
- City
- Santa Rosa
- State
- New Mexico
- ZIP Code
- 88435-2561
- Phone
- (575) 472-5383
Authorized Official
- Name
- MR. JONAS MOYA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (505) 803-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Community/Behavioral Health |
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