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State Of New Mexico
Emotionally Disturbed Childrens' Residential Treatment Facility in Las Vegas, New Mexico
NPI 1992867998

State Of New Mexico is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Las Vegas, NM. State Of New Mexico practices in Las Vegas, NM. The NPI Number for State Of New Mexico is 1992867998 and holds a License No. 3035 (New Mexico).

The current practice location address for State Of New Mexico is 3695 Hot Springs Blvd, Las Vegas, NM and can be reached out via phone at 505-454-2100. You can also correspond with State Of New Mexico through the mailing address at 3695 HOT SPRINGS BLVD., LAS VEGAS, NM - 87701-9549 (mailing address contact number: 505-454-2100).

Location: 3695 Hot Springs Blvd, Las Vegas, NM, 87701-9549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992867998
Provider Name
State Of New Mexico
Credential
Provider Entity Type
Organization
Address
3695 Hot Springs Blvd, Las Vegas, NM, 87701-9549
Phone Number
505-454-2100
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM600303 05 NM
I0126 05 NM
96296 05 NM
50724 05 NM
M1545 05 NM
institution
Provider Business Practice Location Address Details
Address
3695 Hot Springs Blvd
City
Las Vegas
State
New Mexico
Zip
87701-9549
Phone Number
505-454-2100
Fax Number
person
Provider Business Mailing Address Details
Address
3695 Hot Springs Blvd
City
Las Vegas
State
New Mexico
Zip
87701-9549
Phone Number
505-454-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
7257 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
5067 (New Mexico)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
6011 (New Mexico)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
3035 (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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