Family Youth INC

NPI #1114233939 in Las Cruces, New Mexico

Provider Information

NPI Number: 1114233939
Entity Type: Organization
Organization Name: Family Youth INC
Primary Specialty: Case Management
Enumeration Date: Aug 31, 2010
Last Updated: Aug 31, 2010

Practice Location

Address: 1320 S SOLANO DR
City: Las Cruces
State: New Mexico
ZIP Code: 88001-3758
Phone: (575) 556-1669

Authorized Official

Name: MR. BRECK ALAN PENROD
Title: BMS PROVIDER
Phone: (505) 117-4203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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