Provider Demographics
NPI:1134595010
Name:RIO ARRIBA COUNTY HHS
Entity type:Organization
Organization Name:RIO ARRIBA COUNTY HHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:CLAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-927-4270
Mailing Address - Street 1:PO BOX 4942
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:NM
Mailing Address - Zip Code:87533-4942
Mailing Address - Country:US
Mailing Address - Phone:505-753-3143
Mailing Address - Fax:505-753-1769
Practice Address - Street 1:2010 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-3600
Practice Address - Country:US
Practice Address - Phone:505-753-3143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM208527251S00000X
NM005494251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health