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Casa Mesita Group Home, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Los Alamos, New Mexico
NPI 1770721292

Casa Mesita Group Home, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Los Alamos, NM. Casa Mesita Group Home, Inc practices in Los Alamos, NM. The NPI Number for Casa Mesita Group Home, Inc is 1770721292 and holds a License No. 4119 (New Mexico).

The current practice location address for Casa Mesita Group Home, Inc is 4007 Sycamore St, Los Alamos, NM and can be reached out via phone at 505-662-4378 and via fax at 505-662-6834.

Location: 4007 Sycamore St, Los Alamos, NM, 87544-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770721292
Provider Name
Casa Mesita Group Home, Inc
Credential
Provider Entity Type
Organization
Address
4007 Sycamore St, Los Alamos, NM, 87544-1728
Phone Number
505-662-4378
Fax Number
505-662-6834
Provider Enumeration Date
01/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000M0196 05 NM
institution
Provider Business Practice Location Address Details
Address
4007 Sycamore St
City
Los Alamos
State
New Mexico
Zip
87544-1728
Phone Number
505-662-4378
Fax Number
505-662-6834
person
Provider Business Mailing Address Details
Address
4007 Sycamore St
City
Los Alamos
State
New Mexico
Zip
87544-1728
Phone Number
505-662-4378
Fax Number
505-662-6834
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
4119 (New Mexico)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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