Villa Santa Maria

NPI 1124156815 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1124156815
Enumeration Date 03/02/2007
Last Updated 08/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPH J JOSEPH
Position CEO
Phone (505) 281-3609
Fax (505) 281-0124
Practice Location
19 CIRQUELA RD
CEDAR CREST NM, 87008, US
Phone (505) 281-3609
Fax (505) 281-0124
Business Location
PO BOX 156
CEDAR CREST NM, 87008, US
Phone (505) 281-3609
Fax (505) 281-0124
Toxanomy
Taxonomy Code 322D00000X
License State New Mexico
License Number 1115
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According to our database, Villa Santa Maria NPI is 1124156815, taxonomy code is 322D00000X and license number is 1115, license state is located at New Mexico. Villa Santa Maria physically located at 19 Cirquela Rd, Cedar Crest NM, 87008. NPI Number 1033115704 has the healthcare provider type.

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1124156815 NPI number is provided on an as is basis without warranty of any kind. 1124156815 is maintained by the National Plan & Provider Enumeration System. The contents of Villa Santa Maria are for informational purposes only.