Organization
CHILDREN'S TREATMENT CENTER
Active
Organization
CHILDREN'S TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE ANN DOZZO PHD (CLINICAL DIRECTOR)
(505) 296-3965
Entity
Organization
Contact information
Practice address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
(505) 323-9430
Mailing address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
(505) 323-9430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CU00006637
NM
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CU00006637
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M1855
—
NM
05
—
M1919
—
NM
01
—
NM600109
VALUE OPTIONS
NM
Enumeration date
10/20/2005
Last updated
07/22/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up