OrganizationActive
Gregory T. Lyles-Davis
NPI 1831424050 · Case Management Agency · Albuquerque, NM
Provider details
- NPI number
- 1831424050
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- Ydi-Youth Development Inc.
- Organization subpart
- Yes
- Authorized official
- Gregory Lyles-Davis, Program Director(505) 212-7466
Specialties & taxonomies
Agencies
Practice location
632 Chama St Se Apt a
Albuquerque, NM 87108-3963
Phone: (505) 212-7466
Fax: (505) 338-2330
Approximate (ZIP-level) locationGet directions
Mailing address
632 Chama St Se Apt a
Albuquerque, NM 87108-3963
Registry dates
- Enumerated
- 2009-10-06
- Last updated
- 2009-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.