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Mescalero Apache Tribe

Organization Active NPI Substance Abuse Rehabilitation Facility · Mescalero, NM

NPI 1245804301 · NPPES record last updated May 13, 2021

Key facts

NPI
1245804301
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
MESCALERO APACHE TRIBE
Practice address
107 Sunset Loop
Mescalero, NM 88340-8834
Phone
(575) 464-4432
Fax
(575) 464-4331
NPI assigned
May 13, 2021
Organization subpart
Yes
Parent organization (as reported)
MESCALERO TRIBAL HUMAN SERVICES

Authorized official

Name
Veralyn Mendez, MSW
Title
Director
Phone
(575) 464-4432

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Mescalero Apache Tribe

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

107 Sunset Loop
Mescalero, NM 88340-8834

Mailing address

PO Box 228
Mescalero, NM 88340-0228
Phone (575) 464-4432

Other identifiers

IdentifierTypeStateIssuer
33555567MedicaidNM

Other names

  • Four Directions Treatment and Recovery Center Doing business as
  • Mescalero Tribal Human Services Former legal business name

Other providers in Mescalero, NM

All providers in Mescalero, NM · Substance Abuse Rehabilitation Facility in New Mexico

Sources for this page

Verify at the official NPI Registry.