# NM DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NM DEPARTMENT OF HEALTH
- **Other names:** Sequoyah Adolescent Treatment Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407990500
- **Legal business name:** NM DEPARTMENT OF HEALTH
- **Authorized official:** MS. MERLINDA TRUJILLO (ADMINISTRATOR)
- **Authorized official phone:** (505) 222-0375

## Contact information

- **Practice address:** 3405 PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
- **Practice address phone:** (505) 222-0300
- **Practice address fax:** (505) 222-0301
- **Mailing address:** 3405 W PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
- **Mailing address phone:** (505) 222-0300
- **Mailing address fax:** (505) 222-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 02/24/2025