Organization
THE PEAK AT SANTA TERESA, INC.
Active
Parent organization
THE PEAK AT SANTA TERESA INC
Other names
THE PEAK TREATMENT FOSTER CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PEAK AT SANTA TERESA INC
Authorized official
MELISSA KEYSER (PRESIDENT)
(575) 361-3333
Entity
Organization
Contact information
Practice address
4202 W MCGAFFEY ST, ROSWELL, NM 88203-9384
(575) 623-6749
(575) 623-1322
Mailing address
PO BOX 2211, CARLSBAD, NM 88221-2211
(575) 361-3333
(575) 885-5940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NM
253J00000X
Foster Care Agency
Primary
NO NUMBER
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218
—
NM
05
—
219
—
NM
05
—
K9392
—
NM
05
—
M1696
—
NM
Enumeration date
02/22/2007
Last updated
12/01/2016
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