Cyfd-State of New Mexico

NPI #1699849794 in Albuquerque, New Mexico

Provider Information

NPI Number
1699849794
Entity Type
Organization
Organization Name
Cyfd-State of New Mexico
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Nov 20, 2006
Last Updated
Apr 14, 2010

Practice Location

Address
3409 PAN AMERICAN FWY NE
Address 2
3409 PAN AMERICAN FRWY
ZIP Code
87107-4786
Phone
(505) 841-6372

Authorized Official

Name
MR. MINOR MORGAN, LISW
Title
BUREAU CHIEF, CYFDJJS ENTITLEMENT
Phone
(505) 841-6372

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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Provider Name
Nm Department of Health

Part of Nm Department of Health

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