| Mescalero | |
|
249 White Mountain Dr Mescalero NM 88340-9622 | |
| (505) 464-4431 | |
| (505) 464-4822 |
| Full Name | Mescalero |
|---|---|
| Speciality | Psychologist - School |
| Location | 249 White Mountain Dr, Mescalero, New Mexico |
| Authorized Official Name and Position | Charlotte Lapaz (MEDICAID COORDINATOR) |
| Authorized Official Contact | 5054644431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mescalero 249 White Mountain Dr Mescalero NM 88340-9622 Ph: (505) 464-4431 | Mescalero 249 White Mountain Dr Mescalero NM 88340-9622 Ph: (505) 464-4431 |
| NPI Number | 1720292576 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720292576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
La Frontera Center Inc. Dba La Frontera New Mexico, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 White Mountain Dr, Mescalero, NM 88340 Phone: 575-464-0016 | |
Mescalero System Of Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 War Bonnet Drive, Mescalero, NM 88340 Phone: 575-464-4301 Fax: 575-464-3404 |