| The Peak Treatment Foster Care | |
|
4202 W Mcgaffey St Roswell NM 88203-9384 | |
| (575) 623-6749 | |
| (575) 623-1322 |
| Full Name | The Peak Treatment Foster Care |
|---|---|
| Speciality | Foster Care Agency |
| Location | 4202 W Mcgaffey St, Roswell, New Mexico |
| Authorized Official Name and Position | Melissa Keyser (PRESIDENT) |
| Authorized Official Contact | 5753613333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Peak Treatment Foster Care Po Box 2211 Carlsbad NM 88221-2211 Ph: (575) 361-3333 | The Peak Treatment Foster Care 4202 W Mcgaffey St Roswell NM 88203-9384 Ph: (575) 623-6749 |
| NPI Number | 1740315514 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740315514 | NPI | - | NPPES |
| K9392 | Medicaid | NM | |
| 219 | Medicaid | NM | |
| 218 | Medicaid | NM | |
| M1696 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Secondary |
| 253J00000X | Foster Care Agency | NO NUMBER (New Mexico) | Primary |
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