| Organization Name: | REGION IX EDUCATION COOPERATIVE |
| NPI Number: | 1053710004 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN SANCHEZ (MEDICAID TECH) |
| Mailing Address: | 237 Service Rd Ruidoso |
| State: | NM US |
| Postal Code: | 883456063 |
| Phone Number: | 5752572368 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2014 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 299611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |