Organization
SANTO DOMINGO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIANO CALABAZA (DIRECTOR)
(505) 465-2733
Entity
Organization
Contact information
Practice address
200 TESUQUE STREET, SANTO DOMINGO PUEBLO, NM 87052-0130
(505) 465-2733
(505) 465-0433
Mailing address
PO BOX 130, SANTO DOMINGO PUEBLO, NM 87052-0130
(505) 465-2733
(505) 465-0433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
03/29/2007
Last updated
07/21/2022
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