Provider Demographics
NPI:1417174400
Name:UNITARIAN UNIVERSALIST CONGREGATION OF SANTA FE
Entity Type:Organization
Organization Name:UNITARIAN UNIVERSALIST CONGREGATION OF SANTA FE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-982-9674
Mailing Address - Street 1:PO BOX 4637
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87502-4637
Mailing Address - Country:US
Mailing Address - Phone:505-982-9674
Mailing Address - Fax:505-982-3462
Practice Address - Street 1:140 MESA VISTA ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-1732
Practice Address - Country:US
Practice Address - Phone:505-820-2433
Practice Address - Fax:505-984-9974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3020101YM0800X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty