Organization · Type 2 NPI

San Juan Youth Works

Emotionally Disturbed Childrens' Residential Treatment Facility · Monte Vista, CO

NPI number 1376717009 Active

Practice location

260 Adams St
Monte Vista, CO 81144-1424

Fax (719) 852-5369

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X1501942 (CO)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Another provider at this address

About NPI 1376717009

San Juan Youth Works's National Provider Identifier is 1376717009, issued on Apr 14, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Monte Vista, CO. The record was last updated on Apr 14, 2008.