Organization
PUEBLO OF ISLETA BEHAVIORAL HEALTH
Active
Parent organization
PUEBLO OF ISLETA HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUEBLO OF ISLETA HEALTH CENTER
Authorized official
BARBARTA A MONTANO (BUSINESS MANAGER)
(505) 869-4863
Entity
Organization
Contact information
Practice address
01 SAGEBRUSH ST, ISLETA, NM 87022-0000
(505) 869-4863
(505) 869-4881
Mailing address
PO BOX 640, ISLETA, NM 87022-0000
(505) 869-4863
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3803775
—
NM
Enumeration date
01/23/2008
Last updated
01/23/2008
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