Organization
CANONCITO BAND OF NAVAJO HEALTH CENTER, INC
Active
Other names
To'Hajiilee Behaviioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PLATERO (EXECUTIVE DIRECTOR)
(505) 908-2037
Entity
Organization
Contact information
Practice address
96 MEDICINE HORSE DR., TO'HAJIILEE, NM 87026
(505) 908-2871
(505) 908-2572
Mailing address
PO BOX 3368, 96 MEDICINE HORSE DR., TOHAJIILEE, NM 87026-3368
(505) 908-2571
(505) 908-2572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0131581
NM
Other
Enumeration date
12/27/2007
Last updated
07/07/2014
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