Organization
YOUTH DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IMANI TURTLE-SONG LPCC (CLINICAL THERAPIST)
(505) 232-9015
Entity
Organization
Contact information
Practice address
6301 CTRL AVE SW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
(505) 232-9017
Mailing address
6301 CTRL AVE SW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0069042
NM
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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