| Zuni Teen Health Center | |
|
02 Twin Buttes Dr Zuni NM 87327-0000 | |
| (505) 782-5719 | |
| Not Available |
| Full Name | Zuni Teen Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 02 Twin Buttes Dr, Zuni, New Mexico |
| Authorized Official Name and Position | Marnella Kucate-yepa (PROGRAM MANAGER) |
| Authorized Official Contact | 5057825719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zuni Teen Health Center Po Box 339 Zuni NM 87327-0339 Ph: (505) 782-5719 | Zuni Teen Health Center 02 Twin Buttes Dr Zuni NM 87327-0000 Ph: (505) 782-5719 |
| NPI Number | 1790118446 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790118446 | NPI | - | NPPES |
| 11233371 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Zuni Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 D Avenue, Blackrock, Zuni, NM 87327 Phone: 505-782-4710 Fax: 505-782-5880 |