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Organization

CYFD-STATE OF NEW MEXICO-CARLSBAD CRF

Active
Other names
Carlsbad CRF
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
106 N MESQUITE ST, CARLSBAD, NM 88220-4960
(505) 885-8781
(505) 885-8683
Mailing address
300 SAN MATEO BLVD NE STE 410, 300 SAN MATEO BLVD, NE, SUITE 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
7275
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H1847
NM
01
NM600533VNM00239NO
VALUE OPTIONS
NM
Enumeration date
11/15/2006
Last updated
08/07/2008
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