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Organization
PUEBLO OF ZUNI
Active
Organization
PUEBLO OF ZUNI
Active
Parent organization
PUEBLO OF ZUNI
Other names
Zuni Teen Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUEBLO OF ZUNI
Authorized official
MRS. MARNELLA KUCATE-YEPA (PROGRAM MANAGER)
(505) 782-5719
Entity
Organization
Contact information
Practice address
02 TWIN BUTTES DR, ZUNI, NM 87327-0000
(505) 782-5719
Mailing address
PO BOX 339, ZUNI, NM 87327-0339
(505) 782-5719
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11233371
—
NM
Enumeration date
08/16/2013
Last updated
07/20/2016
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