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Organization

CIRCLE OF LIFE

Active
Parent organization
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.
Authorized official
SUE CHAVEZ (BILLING SPECIALIST)
(505) 852-1977
Entity
Organization

Contact information

Practice address
1102A PASEO DE ONATE, ESPANOLA, NM 87532
(505) 852-1377
Mailing address
PO BOX 969, SAN JUAN PUEBLO, NM 87566-0969

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M-07620
NM

Other

Enumeration date
02/11/2011
Last updated
04/19/2011
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