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Organization
NM DEPARTMENT OF HEALTH
Active
Organization
NM DEPARTMENT OF HEALTH
Active
Parent organization
NM DEPARTMENT OF HEALTH
Other names
Sequoyah Adolescent Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NM DEPARTMENT OF HEALTH
Authorized official
MS. MERLINDA TRUJILLO (ADMINISTRATOR)
(505) 222-0375
Entity
Organization
Contact information
Practice address
3405 PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
(505) 222-0300
(505) 222-0301
Mailing address
3405 W PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
(505) 222-0300
(505) 222-0301
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/20/2007
Last updated
02/24/2025
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