Organization
CYFD-STATE OF NEW MEXICO-LAPLACITA
Active
Other names
LaPlacita
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINOR MORGAN LISW (BUREAU CHIEF, CYFDJJS ENTITLEMENT)
(505) 841-6372
Entity
Organization
Contact information
Practice address
3102 N FLORIDA AVE, ALAMOGORDO, NM 88310-9713
(505) 434-0515
(505) 439-0321
Mailing address
300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD NE STE 410, ALBUQUERQUE, NM 87108-1503
(505) 841-6372
(505) 841-2949
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0997
—
NM
01
—
NM600533VNM00238NO
VALUE OPTIONS
NM
Enumeration date
11/20/2006
Last updated
08/07/2008
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