Organization
MESCALERO APACHE TRIBE
Active
Other names
Mescalero Apache Early Childhood Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA ROSE LANGLEY PH.D. (PROGRAM DIRECTO)
(505) 464-9328
Entity
Organization
Contact information
Practice address
101 CENTRAL MESCALERO DRIVE, MESCALERO, NM 88340-0326
(505) 464-9328
(505) 464-8014
Mailing address
PO BOX 326, 101 CENTRAL MESCALERO, MESCALERO, NM 88340-0326
(505) 464-9328
(505) 464-8014
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E8732
—
NM
Enumeration date
05/14/2007
Last updated
08/22/2020
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