NPI 1750370847

Children's Treatment Center

Organisation Mental Illness Community Based Residential Treatment Facility Albuquerque, NM

Practice location

Address: 6611 Gulton CT NE, Albuquerque, NM 87109-4407
Phone: (505) 296-3965
Fax: (505) 323-9430

Authorised official

Name: Leslie Ann Dozzo
Title: Clinical Director
Phone: (505) 296-3965

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence CU00006637 (NM)

Other Community Based Residential Treatment Facility, Mental Illness providers in New Mexico →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence CU00006637 (NM)

Other Community/Behavioral Health providers in New Mexico →

Registry record

NPI: 1750370847
Entity type: Organization
NPI issued: 20 Oct 2005
Record last updated: 22 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.