Organization · Type 2 NPI

NM Department of Health

Emotionally Disturbed Childrens' Residential Treatment Facility · Albuquerque, NM

NPI number 1407990500 Active

Practice location

3405 Pan American Fwy NE
Albuquerque, NM 87107-4786

Fax (505) 222-0301

Mailing address

3405 W Pan American Fwy NE
Albuquerque, NM 87107-4786

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900XNone listed
Family Psychologist 103TF0000XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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.

10 other providers at this address

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About NPI 1407990500

NM Department of Health's National Provider Identifier is 1407990500, issued on Feb 20, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 24, 2025.