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Contact Information

CHILDHAVEN, INC
807 W. APACHE ST.
FARMINGTON, NM87401
 Phone: 505-325-5358
 Fax: 505-327-1482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CHILDHAVEN, INC

NPI Number 1144303074
LBN Legal business name CHILDHAVEN, INC
Authorized official DIANE DEAN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 07/10/2014 - About 12 years ago
Identifiers
NM License # 4151
NM License # CASE MANAGEMENT
NM License # TREATMENT FOSTER CAR
NM License # TREATMENTFOSTER CARE
NM Medicaid K3385
NM Other 21138761 MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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