Casa Mesita Group Home, INC
NPI #1770721292 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1770721292
- Entity Type
- Organization
- Organization Name
- Casa Mesita Group Home, INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 22, 2009
- Last Updated
- Jan 22, 2009
Practice Location
- Address
- 4007 SYCAMORE ST
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-1728
- Phone
- (505) 662-4378
Authorized Official
- Name
- MR. DANIEL BARTHOLOMEW
- Title
- PRESIDENT, BOARD OF DIRECTORS
- Phone
- (505) 662-4378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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