Organization
VILLA SANTA MARIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J MCGUILL (CEO)
(505) 281-3609
Entity
Organization
Contact information
Practice address
19 CIRQUELA RD, CEDAR CREST, NM 87008
(505) 281-3609
(505) 281-0124
Mailing address
PO BOX 156, CEDAR CREST, NM 87008
(505) 281-3609
(505) 281-0124
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1114
NM
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1115
NM
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1116
NM
Other
Enumeration date
03/02/2007
Last updated
08/22/2008
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