Organization
SOCORRO COUNTY COMMUNITY ALTERNATIVES PROGRAM
Active
Parent organization
COUNTY OF SOCORRO, NM
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SOCORRO, NM
Authorized official
DR. DONALITA G MALONEY PHD (CLINICAL SUPERVISOR)
(505) 792-6726
Entity
Organization
Contact information
Practice address
106 CENTER ST, SOCORRO, NM 87801-4559
(505) 792-6726
(575) 838-0244
Mailing address
106 CENTER ST, SOCORRO, NM 87801-4559
(505) 792-6726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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