EAGLES NEST REINTEGRATION CENTER – NPI #1720152838
Residential Treatment Facility, Emotionally Disturbed Children

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

EAGLES NEST REINTEGRATION CENTER is a residential treatment facility located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1720152838 to EAGLES NEST REINTEGRATION CENTER on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAGLES NEST REINTEGRATION CENTER” is a dba name, the actual legal business name for this organization is CYFD-STATE OF NEW MEXICO-EAGLES NEST. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 18 years ago on Aug 07, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLES NEST REINTEGRATION CENTER below.

NPI Profile for
CYFD-STATE OF NEW MEXICO-EAGLES NEST

NPI Number
1720152838
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CYFD-STATE OF NEW MEXICO-EAGLES NEST
Doing Business As (dba): EAGLES NEST REINTEGRATION CENTER
Primary location
300 SAN MATEO BLVD NE STE 410
ALBUQUERQUE, NM 87108-1503
Phone: (505) 377-6911 Fax: (505) 377-6911
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MINOR MORGAN
BUREAU CHIEF, CYFDJJS ENTITLEMENT
Phone: (505) 841-6372
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.