Organization
CYFD-STATE OF NEW MEXICO-EAGLES NEST
Active
Other names
Eagles Nest Reintegration Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINOR MORGAN LISW (BUREAU CHIEF, CYFDJJS ENTITLEMENT)
(505) 841-6372
Entity
Organization
Contact information
Practice address
300 SAN MATEO BLVD NE STE 410, ALBUQUERQUE, NM 87108-1503
(505) 377-6911
(505) 377-6911
Mailing address
300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD NE STE 410, ALBUQUERQUE, NM 87108-1503
(505) 841-6372
(505) 841-2949
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/07/2008
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