Organization
NEW HORIZONS CASA LINDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY KELLY MA (EXECUTIVE DIRECTOR)
(505) 648-2379
Entity
Organization
Contact information
Practice address
810 AVENUE E, CARRIZOZO, NM 88301-0187
(505) 648-2379
Mailing address
PO BOX 187, CARRIZOZO, NM 88301-0187
(505) 648-2379
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5086
NM
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
5086
NM
Other
Enumeration date
05/10/2007
Last updated
09/11/2025
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