Organization · Type 2 NPI

Greater Santa Rosa Council On Alcoholism

Community/Behavioral Health Agency · Santa Rosa, NM

NPI number 1962580175 Active

Practice location

1047 Lake Dr
Santa Rosa, NM 88435-2561

Call (575) 472-5383 Map

Mailing address

419 S 2nd St
Tucumcari, NM 88401-2859

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	LISW 1041CO700X (NM)

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…

11 other providers at this address

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NPI record

NPI: 1962580175
Entity type: Organization (Type 2)
Issued: Nov 2, 2006
Last updated: Jul 15, 2025
Status: Active

Other names

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Professional Counseling Associates New Mexico · doing business as
Professional Counseling Associates of NM · doing business as

Authorized official

Cayetana Zamora
Executive Director of Operations
(575) 472-5383

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962580175

Greater Santa Rosa Council On Alcoholism's National Provider Identifier is 1962580175, issued on Nov 2, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santa Rosa, NM. The record was last updated on Jul 15, 2025.