TRI-COUNTY COMMUNITY SERVICES, INC
Ambulatory Health in Ranchito, NM

License number
New Mexico 3039B1
Category
Agencies
Type
Case Management
License number
New Mexico =========
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. RODNEY GROSS
Title: EXECUTIVE DIRECTOR
Phone: (575) 758-5857
Address
Address 2
413 Sipapu Rd, Ranchito, NM 87571
PO Box 94508, Albuquerque, NM 87199
National Provider ID: 1912995242
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRI-COUNTY COMMUNITY SERVICES, INC

413 Sipapu Street  , Taos, NM 87571

Registration:
Jul 15, 1975
State ID:
847293
Business type:
Domestic Nonprofit
Chief Financials:
Kim J Hamstra (Chief Executive),Juan Valdez (Treasurer),Dee Dee Miller (President),...

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