Organization · Type 2 NPI
NM Department of Health
Emotionally Disturbed Childrens' Residential Treatment Facility · Albuquerque, NM
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
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | None listed |
| Family Psychologist | 103TF0000X | None listed |
| Prescribing (Medical) Psychologist | 103TP0016X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None 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
- Bryan Lance Hurt, PhDPsychologist Albuquerque, NM NPI 1013241140
- Christine Hearn, LPCCProfessional Counselor Albuquerque, NM NPI 1174311252
- Jude Christine Payne, MSWClinical Social Worker Albuquerque, NM NPI 1962736173
- Kathryn Ann Daily, M.S., CCC-SLPSpeech-Language Pathologist Albuquerque, NM NPI 1548388291
- Merle Lee Pokempner, LPATCounselor Albuquerque, NM NPI 1295069219
- Paige Medina, LCSWClinical Social Worker Albuquerque, NM NPI 1568336055
- Phyllis McCurdy Denton, LPCCProfessional Counselor Albuquerque, NM NPI 1093048597
- Robert Anthony Buser, MDChild & Adolescent Psychiatry Physician Albuquerque, NM NPI 1336261783
- Victoria L. Sakshaug, LISWClinical Social Worker Albuquerque, NM NPI 1366775728
- William Henry Gardner, PhDClinical Child & Adolescent Psychologist Albuquerque, NM NPI 1942534201
Other emotionally disturbed childrens' residential treatment facility providers in Albuquerque
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.