OrganizationActive
Youth Development, Inc.
NPI 1275904633 · Community/Behavioral Health Agency · Albuquerque, NM
Provider details
- NPI number
- 1275904633
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Chris Baca, Billing Manager(505) 212-7393
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Easterday Dr Ne
Albuquerque, NM 87112-5115
Phone: (505) 212-7393
Street-level locationGet directions
Mailing address
6301 Central Ave Nw
Albuquerque, NM 87105-2036
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2015-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.