| Youth Shelters | |
|
5686 Agua Fria St Santa Fe NM 87507-9001 | |
| (505) 983-0586 | |
| (505) 424-0949 |
| Full Name | Youth Shelters |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5686 Agua Fria St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Attiana Virella-fuentes (RESIDENT ASSISTANT) |
| Authorized Official Contact | 5059830586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Shelters Po Box 28279 Santa Fe NM 87592-8279 Ph: (505) 983-0586 | Youth Shelters 5686 Agua Fria St Santa Fe NM 87507-9001 Ph: (505) 983-0586 |
| NPI Number | 1013242379 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013242379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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