Organization
TRI-COUNTY COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY GROSS (EXECUTIVE DIRECTOR)
(575) 758-5857
Entity
Organization
Contact information
Practice address
105 PASEO DEL CANON WEST, SUITE A, TAOS, NM 87571
(575) 758-5857
(575) 758-5860
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199
(505) 384-7352
(505) 274-7338
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
3039B1
NM
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NM
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51409
—
NM
Enumeration date
10/11/2005
Last updated
07/21/2022
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