Organization
YOUTH DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA MOORE LPCC (CLINICAL DIRECTOR)
(505) 873-1604
Entity
Organization
Contact information
Practice address
1820 SAN PEDRO DR NE, SUITE 7 & 8, ALBUQUERQUE, NM 87110-5937
(505) 232-9015
(505) 232-9017
Mailing address
1710 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 873-1604
(505) 877-3533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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