Organization
TAOS PUEBLO CMS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE NAKAI MSW, MPH (DIVISION DIRECTOR)
(575) 758-7824
Entity
Organization
Contact information
Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Mailing address
PO BOX 1846, TAOS, NM 87571-1846
(575) 758-7824
(575) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
298
NM
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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