Organization
TAOS PUEBLO DIVISION OF HEALTH AND COMMUNITY SERVICES
Active
Parent organization
TAOS PUEBLO CENTRAL MANAGEMENT SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAOS PUEBLO CENTRAL MANAGEMENT SYSTEM
Authorized official
MS. SHAWN DURAN (TRIBAL PROGRAM ADMINISTRATOR)
(575) 758-8626
Entity
Organization
Contact information
Practice address
1090 GOAT SPRINGS RD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Mailing address
PO BOX 1846, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/17/2008
Last updated
02/05/2014
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