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Organization

PUEBLO OF ZUNI

Active
Parent organization
PUEBLO OF ZUNI
Other names
Zuni Teen Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PUEBLO OF ZUNI
Authorized official
MRS. MARNELLA KUCATE-YEPA (PROGRAM MANAGER)
(505) 782-5719
Entity
Organization

Contact information

Practice address
02 TWIN BUTTES DR, ZUNI, NM 87327-0000
(505) 782-5719
Mailing address
PO BOX 339, ZUNI, NM 87327-0339
(505) 782-5719

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11233371
NM
Enumeration date
08/16/2013
Last updated
07/20/2016
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