Bootheel Youth Association

Organization Active NPI Community/Behavioral Health Agency · Lordsburg, NM

NPI 1962632927 · NPPES record last updated Jul 23, 2009

Key facts

NPI
1962632927
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
BOOTHEEL YOUTH ASSOCIATION
Practice address
618 Pyramid St
Lordsburg, NM 88045-2000
Phone
(575) 542-3908
Fax
(575) 542-3908
NPI assigned
Jul 23, 2009
Organization subpart
No

Authorized official

Name
Christine Ortiz
Title
Bya Coordinator
Phone
(575) 542-3908

National Provider Directory

Locations

618 Pyramid St
Lordsburg, NM 88045
Phone (575) 542-3908

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

618 Pyramid St
Lordsburg, NM 88045-2000

Mailing address

618 Pyramid St
Lordsburg, NM 88045-2000
Phone (575) 542-3908

Other providers in Lordsburg, NM

All providers in Lordsburg, NM · Community/Behavioral Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.