Jicarilla Apache Nation
Jicarilla Apache Nation is a Community/Behavioral Health Agency in Dulce, New Mexico. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
109 Seneca DrDulce, NM 87528
Phone: (505) 759-3162
Fax: (505) 759-3588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1508051061 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Levi Pesata — President · (505) 759-3242 |
| Other names | Jicarilla Behavioral Health |
| NPI enumerated | September 7, 2007 |
| Last updated in NPPES | September 7, 2007 |
| Mailing address | Po Box 546, Dulce, NM 87528-0546 |