Organization
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
Active
Organization
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
Active
Parent organization
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
Other names
New Moon Lodge
Organization subpart
Yes
Provider details
NPI number
Legal business name
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
Authorized official
DR. TROY CAMPBELL LCSW (DIRECTOR OF BEHAVIORAL HEALTH)
(505) 852-1377
Entity
Organization
Contact information
Practice address
579 WHITE SWAN RD, 327 EAGLE DRIVE, OHKAY OWINGEH, NM 87566
(505) 852-2788
Mailing address
327 EAGLE DR, OHKAY OWINGEH, NM 87566-3600
(505) 852-1377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28585810
—
NM
Enumeration date
04/17/2017
Last updated
08/11/2026
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