Whalio Doctors

NPI 1306910484

Cyfd-State of New Mexico-Laplacita

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Alamogordo, NM

Practice location

Address
3102 N Florida Ave, Alamogordo, NM 88310-9713
Phone
(505) 434-0515
Fax
(505) 439-0321
Mailing address
300 San Mateo Blvd NE STE 410 300 San Mateo Blvd NE STE 410, Albuquerque, NM 87108-1503

Authorised official

Name
Minor Morgan
Title
Bureau Chief, Cyfdjjs Entitlement
Phone
(505) 841-6372

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 1103 (NM)

Registry record

NPI
1306910484
Entity type
Organization
NPI issued
20 Nov 2006
Record last updated
7 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.