Organization
TOBOSA DEVELOPMENTAL SERVICES
Active
Other names
Tobosa Development and Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MADRID MASTERS (EXECUTIVE DIRECTOR)
(505) 624-1025
Entity
Organization
Contact information
Practice address
110 E SUMMIT ST, ROSWELL, NM 88203-5619
(505) 624-1025
(505) 623-6444
Mailing address
110 E SUMMIT ST, ROSWELL, NM 88203-5619
(505) 624-1025
(505) 623-6444
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1129
—
NM
05
—
E7266
—
NM
Enumeration date
01/08/2007
Last updated
08/22/2020
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