The Willow Foundation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE WILLOW FOUNDATION

Practice address

1405 Madison Ave
Roswell, NM 88203-5535

Phone

(575) 578-0069

NPI assigned

May 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Britton

Title

Executive Director

Phone

(575) 578-0069

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Indigo Sun Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Albuquerque, NM
  • NPI 1669285409
  NPPES parent name
• Twilight Physician Group

  • Adult Medicine Physician
  • Albuquerque, NM
  • NPI 1194422832
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1962720771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MADISON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035535",
            "telephone_number": "575-578-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MADISON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035535",
            "telephone_number": "575-578-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-578-0069"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidice Tejeda Hernandez
• Ralph Tellez, MA
• Katherine M Thatcher, CNP
• The Peak at Santa Teresa, Inc. (The Peak Treatment Foster Care)
• The Smiling Lotus, LLC (The Smiling Lotus Counseling and Consultation)
• Helga Theimer
• Therapy Options LLC
• Thi of New Mexico at Sunset Villa, LLC (Sunset Villa Care Center)
• Thomas D Ramage MD PA
• John C Thomas, P.A.

• Mental Illness Community Based Residential Treatment Facility in Roswell, NM
• Providers in Roswell, NM by specialty
• Mental Illness Community Based Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.