# CYFD-STATE OF NEW MEXICO-CARLSBAD CRF

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carlsbad CRF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881767366
- **Authorized official:** MR. MINOR MORGAN LISW (BUREAU CHIEF, CYFDJJS ENTITLEMENT)
- **Authorized official phone:** (505) 841-6372

## Contact information

- **Practice address:** 106 N MESQUITE ST, CARLSBAD, NM 88220-4960
- **Practice address phone:** (505) 885-8781
- **Practice address fax:** (505) 885-8683
- **Mailing address:** 300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD, NE, SUITE 410, ALBUQUERQUE, NM 87108-1503
- **Mailing address phone:** (505) 841-6372
- **Mailing address fax:** (505) 841-2949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 7275 | NM | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/07/2008
