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
- City
- Roswell
- State
- New Mexico
- 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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