Organization
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIL VIGIL (EXECUTIVE DIRECTOR)
(505) 231-5469
Entity
Organization
Contact information
Practice address
1130 BUTTERFLY RD., TAOS, NM 87571
(575) 751-7688
Mailing address
PO BOX 969, OHKAY OWINGAY, NM 87556
(505) 747-1593
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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