NPI 1114233939

Family Youth INC

Organisation Case Management Agency Las Cruces, NM

Practice location

Address: 1320 S Solano Dr, Las Cruces, NM 88001-3758
Phone: (575) 556-1669
Mailing address: 2190 Mars Ave 11, Las Cruces, NM 88012-8532

Authorised official

Name: Breck Alan Penrod
Title: Bms Provider
Phone: (505) 117-4203

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in New Mexico →

Registry record

NPI: 1114233939
Entity type: Organization
NPI issued: 31 Aug 2010
Record last updated: 31 Aug 2010

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.