NPI 1962720771

The Willow Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Roswell, NM

Practice location

Address: 1405 Madison Ave, Roswell, NM 88203-5535
Phone: (575) 578-0069

Authorised official

Name: Justin Britton
Title: Executive Director
Phone: (575) 578-0069

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1962720771
Entity type: Organization
NPI issued: 4 May 2010
Record last updated: 4 May 2010

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.