| Youth Shelters | |
|
5686 Agua Fria St Santa Fe NM 87507-9001 | |
| (505) 438-0502 | |
| (505) 438-0504 |
| Full Name | Youth Shelters |
|---|---|
| Speciality | Social Worker |
| Location | 5686 Agua Fria St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Toni Kuehn (PROGRAM DIRECTOR SHELTER) |
| Authorized Official Contact | 5054380502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Shelters 5686 Agua Fria St Santa Fe NM 87507-9001 Ph: () - | Youth Shelters 5686 Agua Fria St Santa Fe NM 87507-9001 Ph: (505) 438-0502 |
| NPI Number | 1003140658 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003140658 | NPI | - | NPPES |
| 104100000X | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | M06966 (New Mexico) | Primary |
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