NPI 1407990500

Nm Department of Health

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Albuquerque, NM

Practice location

Address: 3405 Pan American Fwy NE, Albuquerque, NM 87107-4786
Phone: (505) 222-0300
Fax: (505) 222-0301
Mailing address: 3405 W Pan American Fwy NE, Albuquerque, NM 87107-4786

Authorised official

Name: Merlinda Trujillo
Title: Administrator
Phone: (505) 222-0375

Registered specialties (5)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New Mexico →

Counseling Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC1900X

Other Psychologist providers in New Mexico →

Family Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TF0000X

Prescribing (Medical) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP0016X

Group Psychotherapy Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP2701X

Registry record

NPI: 1407990500
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 24 Feb 2025

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.