Service Organization For Youth, Inc.

LBN: Service Organization For Youth, Inc.
Service Organization For Youth, Inc. is an health care organization with primary practice located at 101 Letton Dr , Raton NM 87740-4366. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Service Organization For Youth, Inc. can be contacted via phone (575) 445-8568, or through Ulibarri, Ferman L. via phone (575) 445-8568.

Contact Information

Primary practice address
101 Letton Dr Raton NM 87740-4366
Phone: (575) 445-8568
Fax: (575) 445-0540
Website:
Map and Directions
Authorized official contact:
Name: Ulibarri, Ferman L. LMSW
Phone: (575) 445-8568

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3834 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0108381 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2472 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0108891 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-4177 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X X-06096 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-04932 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-07045 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X X-06579 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-06832 New Mexico

Profile Details

NPI number 1295886372
LBN Legal business name Service Organization For Youth, Inc.
DBA Doing business as
Authorized official Ulibarri, Ferman L. LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated May 26th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295886372 NPPES
New Mexico MEDICAID 71525564

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