Organization
BERNALILLO COUNTY YOUTH SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E SWISSTACK (DIRECTOR)
(505) 468-7122
Entity
Organization
Contact information
Practice address
5100 2ND ST NW, ALBUQUERQUE, NM 87107-4009
(505) 468-7106
(505) 462-9985
Mailing address
5100 2ND ST NW, P O BOX 25745, ALBUQUERQUE, NM 87107-4009
(505) 468-7106
(505) 462-9985
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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