OrganizationActive
Children'S Treatment Center
NPI 1750370847 · Mental Illness Community Based Residential Treatment Facility · Albuquerque, NM
Provider details
- NPI number
- 1750370847
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leslie Dozzo, Clinical Director(505) 296-3965
- License
- CU00006637 (NM)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense CU00006637 (NM)
Residential Treatment Facilities
Agencies
Practice location
6611 Gulton Ct Ne
Albuquerque, NM 87109-4407
Phone: (505) 296-3965
Fax: (505) 323-9430
Approximate (ZIP-level) locationGet directions
Mailing address
6611 Gulton Ct Ne
Albuquerque, NM 87109-4407
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2014-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.