PUEBLO OF ISLETA BEHAVIORAL HEALTH NPI 1245417104

NPI Information

PUEBLO OF ISLETA BEHAVIORAL HEALTH is a family psychologist in Isleta, NM. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. PUEBLO OF ISLETA BEHAVIORAL HEALTH NPI is 1245417104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

01 SAGEBRUSH ST
ISLETA, NM
ZIP 87022-000
Phone: (505) 869-4863
Fax: (505) 869-4881

The provider's authorized official is Barbarta A Montano .
The authorized official title is Business Manager and has the following contact phone number (505) 869-4863.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 1/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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