Organization
MESCALERO APACHE TRIBE
Active
Parent organization
MESCALERO TRIBAL HUMAN SERVICES
Other names
Mescalero Tribal Human Services, Four Directions Treatment and Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MESCALERO TRIBAL HUMAN SERVICES
Authorized official
VERALYN MENDEZ MSW (DIRECTOR)
(575) 464-4432
Entity
Organization
Contact information
Practice address
107 SUNSET LOOP, MESCALERO, NM 88340-8834
(575) 464-4432
(575) 464-4331
Mailing address
PO BOX 228, MESCALERO, NM 88340-0228
(575) 464-4432
(575) 464-4331
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33555567
—
NM
Enumeration date
05/13/2021
Last updated
05/13/2021
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