Bootheel Youth Association
NPI #1962632927 in Lordsburg, New Mexico
Provider Information
- NPI Number
- 1962632927
- Entity Type
- Organization
- Organization Name
- Bootheel Youth Association
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 23, 2009
- Last Updated
- Jul 23, 2009
Practice Location
- Address
- 618 PYRAMID ST
- City
- Lordsburg
- State
- New Mexico
- ZIP Code
- 88045-2000
- Phone
- (575) 542-3908
Authorized Official
- Name
- CHRISTINE ORTIZ
- Title
- BYA COORDINATOR
- Phone
- (575) 542-3908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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