Organization · NPI-2
Rio Arriba County Hhs
Community/Behavioral Health · Espanola, NM
NPI number1134595010
StatusActive
Last updated in NPPESAug 14, 2015
Details
- NPI
- 1134595010
- Entity type
- Organization (NPI-2)
- Legal business name
- Rio Arriba County Hhs
- Organization subpart
- No
- Enumeration date
- Aug 14, 2015
- Last updated
- Aug 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 005494 | NM | Yes |
| 251S00000X | Community/Behavioral Health | 208527 | NM |
Practice location
2010 Industrial Park RdEspanola, NM 87532-3600
Phone 505-753-3143
Mailing address
Po Box 4942Espanola, NM 87533-4942
Phone 505-753-3143 · Fax 505-753-1769
Authorized official
William Maurice Clapp
Clinical Director
5059274270
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