| Youth Development, Inc. | |
|
1111 Easterday Dr Ne Albuquerque NM 87112-5115 | |
| (505) 212-7393 | |
| Not Available |
| Full Name | Youth Development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 Easterday Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Chris Baca (BILLING MANAGER) |
| Authorized Official Contact | 5052127393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Development, Inc. 6301 Central Ave Nw Albuquerque NM 87105-2036 Ph: () - | Youth Development, Inc. 1111 Easterday Dr Ne Albuquerque NM 87112-5115 Ph: (505) 212-7393 |
| NPI Number | 1275904633 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275904633 | NPI | - | NPPES |
| 79078851 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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