NPI 1497872550

New Vision Group Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Clovis, NM

Practice location

Address: 919 Rencher St, Clovis, NM 88101-5858
Phone: (505) 769-2142
Fax: (505) 769-2161

Authorised official

Name: Evan Baker
Title: Co-Owner
Phone: (505) 769-2142

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1497872550
Entity type: Organization
NPI issued: 23 Mar 2007
Record last updated: 22 Aug 2020

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.