Cyfd-State of New Mexico-Eagles Nest

NPI #1720152838 in Albuquerque, New Mexico

Provider Information

NPI Number
1720152838
Entity Type
Organization
Organization Name
Cyfd-State of New Mexico-Eagles Nest
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Nov 20, 2006
Last Updated
Aug 7, 2008

Practice Location

Address
300 SAN MATEO BLVD NE STE 410
ZIP Code
87108-1503
Phone
(505) 377-6911

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

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