Organization · NPI-2

Inside Out

Community/Behavioral Health · Espanola, NM

NPI number1023818176
StatusActive
Last updated in NPPESMar 18, 2025

Details

NPI
1023818176
Entity type
Organization (NPI-2)
Legal business name
Inside Out
Organization subpart
No
Enumeration date
Mar 18, 2025
Certification date
Mar 17, 2025
Last updated
Mar 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
174200000X Meals––
251B00000X Case Management––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
347C00000X Private Vehicle––

Practice location

908 N Riverside Dr Ste 6
Espanola, NM 87532-2916

Phone 505-367-3500 · Fax 505-367-3503

Mailing address

908 N Riverside Dr Ste 6
Espanola, NM 87532-2916

Phone 505-367-3500 · Fax 505-367-3503

Authorized official

Bernadette Gutierrez
Executive Director
5053673500

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