EIGHT NORTHERN INDIAN PUEBLOS NPI 1679007744

NPI Information

EIGHT NORTHERN INDIAN PUEBLOS is a community based residential treatment facility mental illness in Ohkay Owingeh, NM. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EIGHT NORTHERN INDIAN PUEBLOS NPI is 1679007744. The provider is registered as an organization entity type.
The provider Is Doing Business As New Moon Lodge.

The provider's business location address is:

579 WHITE SWAN RD
327 EAGLE DRIVE
OHKAY OWINGEH, NM
ZIP 87566
Phone: (505) 852-2788

The provider's authorized official is Dorothy Anne Forbes .
The authorized official title is Program Director and has the following contact phone number (505) 692-5034.

The enumeration date for this NPI number is 4/17/2017 and was last updated on 4/17/2017.

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