# OUR LADY OF MOUNT CARMEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962569640
- **Authorized official:** ROSE MARIE HOLDEN NHA (ADMINISTRATOR)
- **Authorized official phone:** (505) 722-9411

## Contact information

- **Practice address:** 300 MOUNT CARMEL AVE, GALLUP, NM 87301-7411
- **Practice address phone:** (505) 722-9411
- **Mailing address:** 300 MOUNT CARMEL AVE, GALLUP, NM 87301-7411
- **Mailing address phone:** (505) 722-9411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | RTC\#4372 | NM | — |
| 323P00000X | Psychiatric Residential Treatment Facility | RTC\#4372 | NM | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 09/11/2025