The Willow Foundation

NPI #1962720771 in Roswell, New Mexico

Provider Information

NPI Number
1962720771
Entity Type
Organization
Organization Name
The Willow Foundation
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
May 4, 2010
Last Updated
May 4, 2010

Practice Location

Address
1405 MADISON AVE
ZIP Code
88203-5535
Phone
(575) 578-0069

Authorized Official

Name
JUSTIN BRITTON
Title
EXECUTIVE DIRECTOR
Phone
(575) 578-0069

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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