Organization
YOUTH DEVELOPMENT INC
Active
Organization
YOUTH DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LOPEZ (VICE PRESIDENT)
(505) 831-6038
Entity
Organization
Contact information
Practice address
1710 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 212-7405
Mailing address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
101YM0800X
NM
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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