Organization
YOUTH DEVELOPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA MOORE (CLINICAL DIRECTOR)
(505) 873-1604
Entity
Organization
Contact information
Practice address
1710 EL CENTRO FAMILIAR BLVD SW # 87105, ALBUQUERQUE, NM 87105-4502
(505) 873-1604
(505) 877-3533
Mailing address
1710 EL CENTRO FAMILIAR BLVD SW # 87105, ALBUQUERQUE, NM 87105-4502
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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