# SEQUEL OF NEW MEXICO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEQUET YOUTH AND FAMILY SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992944557
- **Legal business name:** SEQUET YOUTH AND FAMILY SERVICES, LLC
- **Authorized official:** YVONNE R GURULE (DIRECTOR OF MARKETING & CONTRACTS)
- **Authorized official phone:** (505) 710-9210

## Contact information

- **Practice address:** 1801 RANDOLPH RD SE, ALBUQUERQUE, NM 87106-4230
- **Practice address phone:** (505) 924-6330
- **Practice address fax:** (505) 768-7956
- **Mailing address:** 5400 GIBSON BLVD., SE, SUITE 'A', ALBUQUERQUE, NM 87108
- **Mailing address phone:** (505) 924-6330
- **Mailing address fax:** (505) 768-7956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2020 | NM | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2021 | NM | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2022 | NM | — |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 02/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NM\#96128259 | — | NM |