Organization
NORTH CENTRAL COMMUNITY BASED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA SERNA LISW (EXECUTIVE DIRECTOR)
(575) 756-2327
Entity
Organization
Contact information
Practice address
16542 HWY 84, CHAMA, NM 87520-0617
(575) 756-2327
(575) 756-1897
Mailing address
PO BOX 617, 16542 HWY 84, CHAMA, NM 87520-0617
(575) 756-2327
(575) 756-1897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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