Organization · Type 2 NPI

Santo Domingo Pueblo

Community/Behavioral Health Agency · Santo Domingo Pueblo, NM

NPI number 1396944211 Active

Practice location

18 Eagle Ct # 87052
Santo Domingo Pueblo, NM 87052-1230

Mailing address

PO Box 130
Santo Domingo Pueblo, NM 87052-0130

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1396944211

Santo Domingo Pueblo's National Provider Identifier is 1396944211, issued on Jul 11, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Jul 9, 2026.