OrganizationActive
Eight Northern Indian Pueblos
NPI 1679007744 · Mental Illness Community Based Residential Treatment Facility · Ohkay Owingeh, NM
Provider details
- NPI number
- 1679007744
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dorothy Forbes, Program Director(505) 692-5034
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
579 White Swan Rd
327 Eagle Drive
Ohkay Owingeh, NM 87566
Phone: (505) 852-2788
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 969
Ohkay Owingeh, NM 87566-0969
Other names (DBA / former)
- Doing business as
- New Moon Lodge
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2017-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.