| NPI | 1245804301 |
|---|---|
| Former Legal Business Name | MESCALERO TRIBAL HUMAN SERVICES |
| Doing Business As | FOUR DIRECTIONS TREATMENT AND RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | VERALYN MENDEZ Director 575-464-4432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |