| Hope Youth Services, Inc | |
|
200 W 1st St Suite 625 Roswell NM 88203-4668 | |
| (505) 625-6909 | |
| (505) 625-9442 |
| Full Name | Hope Youth Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 W 1st St, Roswell, New Mexico |
| Authorized Official Name and Position | Lauri R Foster (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 5056256909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Youth Services, Inc 200 W 1st St Suite 625 Roswell NM 88203-4668 Ph: (505) 625-6909 | Hope Youth Services, Inc 200 W 1st St Suite 625 Roswell NM 88203-4668 Ph: (505) 625-6909 |
| NPI Number | 1285735225 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285735225 | NPI | - | NPPES |
| 58388354 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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