Whalio Doctors

NPI 1124156815

Villa Santa Maria

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Cedar Crest, NM

Practice location

Address
19 Cirquela Rd, Cedar Crest, NM 87008
Phone
(505) 281-3609
Fax
(505) 281-0124
Mailing address
PO Box 156, Cedar Crest, NM 87008

Authorised official

Name
Joseph J McGuill
Title
Ceo
Phone
(505) 281-3609

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 1114 (NM)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1115 (NM)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1116 (NM)

Registry record

NPI
1124156815
Entity type
Organization
NPI issued
2 Mar 2007
Record last updated
22 Aug 2008

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.