Organization
MESCALERO TRIBAL HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA LAYTON MA, NCC (EXECUTIVE DIRECTOR)
(505) 464-4338
Entity
Organization
Contact information
Practice address
107 SUNSET LOOP, MESCALERO, NM 88340
(505) 464-4330
(505) 464-4331
Mailing address
107 SUNSET LOOP, P.O. BOX 228, MESCALERO, NM 88340
(505) 464-4330
(505) 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
01
—
NM600999
VALUEOPTIONS
OR
Enumeration date
07/19/2007
Last updated
07/19/2007
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