Whalio Doctors

NPI 1144303074

Childhaven, INC

Organisation Foster Care Agency Farmington, NM

Practice location

Address
807 W. Apache St., Farmington, NM 87401
Phone
(505) 325-5358
Fax
(505) 327-1482

Authorised official

Name
Diane Dean
Title
Cfo
Phone
(505) 325-5358

Registered specialties (7)

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence 4151 (NM)
Case Management Agency
Agencies Taxonomy 251B00000X Licence CASE MANAGEMENT (NM)
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 4151 (NM)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence TREATMENT FOSTER CAR (NM)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Foster Care Agency
Agencies Taxonomy 253J00000X Licence TREATMENTFOSTER CARE (NM)

Registry record

NPI
1144303074
Entity type
Organization
NPI issued
23 Oct 2006
Record last updated
10 Jul 2014

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.