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GREATER SANTA ROSA COUNCIL ON ALCOHOLISM NPI 1932313400


NPI Information

NPI: 1932313400
Provider Name: GREATER SANTA ROSA COUNCIL ON ALCOHOLISM

Other Name: PROFESSIONAL COUNSELING ASSOCIATES OF NEW MEXICO

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
419 S 2ND ST
TUCUMCARI, NM
ZIP 88401
Phone: (505) 306-6064
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GREATER SANTA ROSA COUNCIL ON ALCOHOLISM is a community behavioral health in Tucumcari, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GREATER SANTA ROSA COUNCIL ON ALCOHOLISM NPI is 1932313400. The provider is registered as an organization entity type.
The provider Other Name Is Professional Counseling Associates Of New Mexico.

The provider's business location address is:

419 S 2ND ST
TUCUMCARI, NM
ZIP 88401-859
Phone: (505) 306-6064

The provider's authorized official is Ralph Leonard Moya .
The authorized official title is Chief Executive Officer and has the following contact phone number (505) 306-6064.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthLISW1041C0700XNEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000A3588MEDICAIDNEW MEXICO
2NM000217OTHERNEW MEXICOVALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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