Desert Vista Counseling and Behavioral Health Service LLC
Organization Active NPI Respite Care · Chaparral, NM
NPI 1710259668 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1710259668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- License
- 251800000X (NM)
- Legal business name
- DESERT VISTA COUNSELING AND BEHAVIORAL HEALTH SERVICE LLC
- Practice address
- 229 Angelina
Chaparral, NM 88081-7558 - Phone
- (915) 355-0497
- NPI assigned
- Feb 7, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Guillermo Gomez Jr.
- Title
- Ceo
- Phone
- (915) 355-0497
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Desert Vista Counseling and Behavioral Health Service LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 251800000X | NM | Yes |
Addresses
Primary practice location
229 Angelina
Chaparral, NM 88081-7558
Mailing address
229 Angelina
Chaparral, NM 88081-7558
Other providers in Chaparral, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.