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Greater Santa Rosa Council On Alcoholism
Community/Behavioral Health Agency in Tucumcari, New Mexico
NPI 1962580175

Greater Santa Rosa Council On Alcoholism is a Community/Behavioral Health Agency based in Tucumcari, NM. Greater Santa Rosa Council On Alcoholism practices in Tucumcari, NM. The NPI Number for Greater Santa Rosa Council On Alcoholism is 1962580175 and holds a License No. LISW 1041CO700X (New Mexico).

The current practice location address for Greater Santa Rosa Council On Alcoholism is 419 S 2Nd St, Tucumcari, NM and can be reached out via phone at 505-461-3572 and via fax at 505-461-3572. You can also correspond with Greater Santa Rosa Council On Alcoholism through the mailing address at 419 S 2ND ST, TUCUMCARI, NM - 88401-2859 (mailing address contact number: 505-461-3572).

Location: 419 S 2Nd St, Tucumcari, NM, 88401-2859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962580175
Provider Name
Greater Santa Rosa Council On Alcoholism
Credential
Provider Entity Type
Organization
Address
419 S 2Nd St, Tucumcari, NM, 88401-2859
Phone Number
505-461-3572
Fax Number
505-461-3572
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
I0930 01 NM LISW
NMA3588 05 NM
institution
Provider Business Practice Location Address Details
Address
419 S 2Nd St
City
Tucumcari
State
New Mexico
Zip
88401-2859
Phone Number
505-461-3572
Fax Number
505-461-3572
person
Provider Business Mailing Address Details
Address
419 S 2Nd St
City
Tucumcari
State
New Mexico
Zip
88401-2859
Phone Number
505-461-3572
Fax Number
505-461-3572
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
LISW 1041CO700X (New Mexico)
Definition
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.
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