Whalio Doctors

NPI 1760026942

Youth Health Associates, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Los Lunas, NM

Practice location

Address
40 Hob Rd, Los Lunas, NM 87031-7601
Phone
(505) 903-4411
Fax
(801) 683-8962
Mailing address
299 N 200 W, Bountiful, UT 84010-7043

Authorised official

Name
Shayne Miller
Title
Cfo
Phone
(801) 330-8845

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1760026942
Entity type
Organization
NPI issued
31 Oct 2019
Record last updated
31 Oct 2019

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.