NPI 1720152838

Cyfd-State of New Mexico-Eagles Nest

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Albuquerque, NM

Practice location

Address: 300 San Mateo Blvd NE STE 410, Albuquerque, NM 87108-1503
Phone: (505) 377-6911
Fax: (505) 377-6911
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

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

Registry record

NPI: 1720152838
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.