Santa Fe Mountain Center INC
Community/Behavioral Health in Tesuque, NM. Organization (NPI-2).
NPI number1861695769
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1861695769
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Fe Mountain Center INC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2007
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- The Mountain Center (Doing Business As)
Practice location
1524 Bishops Lodge RoadTesuque, NM 87574-0449
Phone 505-983-6158 · Fax 505-983-0460
Mailing address
Po Box 449Tesuque, NM 87574-0449
Phone 505-983-6158 · Fax 505-983-0460
Authorized official
Juan Dixon
Executive Director
5054903549
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