NPI 1770721292

Casa Mesita Group Home, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Los Alamos, NM

Practice location

Address: 4007 Sycamore St, Los Alamos, NM 87544-1728
Phone: (505) 662-4378
Fax: (505) 662-6834

Authorised official

Name: Daniel Bartholomew
Title: President, Board of Directors
Phone: (505) 662-4378

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 4119 (NM)

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

Registry record

NPI: 1770721292
Entity type: Organization
NPI issued: 22 Jan 2009
Record last updated: 22 Jan 2009

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.