New Vision Group Home
NPI #1497872550 in Clovis, New Mexico
Provider Information
- NPI Number
- 1497872550
- Entity Type
- Organization
- Organization Name
- New Vision Group Home
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 919 RENCHER ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-5858
- Phone
- (505) 769-2142
Authorized Official
- Name
- EVAN BAKER
- Title
- CO-OWNER
- Phone
- (505) 769-2142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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