Organization
MESCALERO APACHE TRIBE
Active
Parent organization
MESCALERO APACHE TRIBE
Other names
Mescalero System of Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MESCALERO APACHE TRIBE
Authorized official
JOELLYN PAULINE MAGOOSH (DIRECTOR)
(575) 464-9274
Entity
Organization
Contact information
Practice address
311 WAR BONNET DRIVE, MESCALERO, NM 88340
(575) 464-4301
(575) 464-3404
Mailing address
PO BOX 227, MESCALERO, NM 88340-0227
(575) 464-4301
(575) 464-3404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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