| Santo Domingo Behavioral Health | |
|
200 Tesuque Street Santo Domingo Pueblo NM 87052-0130 | |
| (505) 465-2733 | |
| (505) 465-0433 |
| Full Name | Santo Domingo Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Tesuque Street, Santo Domingo Pueblo, New Mexico |
| Authorized Official Name and Position | Luciano Calabaza (DIRECTOR) |
| Authorized Official Contact | 5054652733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santo Domingo Behavioral Health Po Box 130 Santo Domingo Pueblo NM 87052-0130 Ph: (505) 465-2733 | Santo Domingo Behavioral Health 200 Tesuque Street Santo Domingo Pueblo NM 87052-0130 Ph: (505) 465-2733 |
| NPI Number | 1134248909 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134248909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
Kewa Pueblo Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West Highway 22, Santo Domingo Pueblo, NM 87052 Phone: -- | |
Santo Domingo Behavioral Health Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Tesuque St, Santo Domingo Pueblo, NM 87052 Phone: 505-465-2733 |