| Doctor Name: | JAMES PERALTO |
| NPI Number: | 1215056098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 406 Gayton Ridge Drive Mescalero, NM - 883400324 |
| Business Phone Number: | 5054641573 |
| Business Fax Number: | |
| Mailing Address: | Po Box 324, MESCALERO |
| State: | NM |
| Postal Code: | 883400324 |
| Phone Number: | 5054641573 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |