NPI 1013242379
Youth Shelters
Practice location
- Address
- 5686 Agua Fria St, Santa Fe, NM 87507-9001
- Phone
- (505) 983-0586
- Fax
- (505) 424-0949
- Mailing address
- PO Box 28279, Santa Fe, NM 87592-8279
Authorised official
- Name
- Attiana Virella-Fuentes
- Title
- Resident Assistant
- Phone
- (505) 983-0586
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013242379
- Entity type
- Organization
- NPI issued
- 5 Oct 2009
- Record last updated
- 19 Oct 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.