Service Organization For Youth, Inc. - Mental Health Clinic in Raton, NM

Service Organization For Youth, Inc. is a mental health clinic (Social Worker - Clinical) in Raton, New Mexico. The current practice location for Service Organization For Youth, Inc. is 101 Letton Dr, Raton, New Mexico. For appointments, you can reach them via phone at (575) 445-8568. The mailing address for Service Organization For Youth, Inc. is Po Box 1165, Raton, New Mexico and phone number is (575) 445-8568.

Service Organization For Youth, Inc. is licensed to practice in New Mexico (license number M-4177) and its NPI number is 1295886372. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (575) 445-8568.

Contact Information

Service Organization For Youth, Inc.
101 Letton Dr
Raton
NM 87740-4366
(575) 445-8568
(575) 445-0540

Mental Health Clinic Profile

Full NameService Organization For Youth, Inc.
SpecialitySocial Worker - Clinical
Location101 Letton Dr, Raton, New Mexico
Authorized Official Name and PositionFerman L. Ulibarri (EXECUTIVE DIRECTOR)
Authorized Official Contact5754458568
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Service Organization For Youth, Inc.
Po Box 1165
Raton
NM 87740-1165

Ph: (575) 445-8568
Service Organization For Youth, Inc.
101 Letton Dr
Raton
NM 87740-4366

Ph: (575) 445-8568

NPI Details:

NPI Number1295886372
Provider Enumeration Date01/15/2007
Last Update Date05/26/2010

Medical Identifiers

Medical identifiers for Service Organization For Youth, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295886372NPI-NPPES
71525564MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 3834 (New Mexico)Secondary
101YM0800XCounselor - Mental Health 0108381 (New Mexico)Secondary
101YM0800XCounselor - Mental Health 2472 (New Mexico)Secondary
101YM0800XCounselor - Mental Health 0108891 (New Mexico)Secondary
1041C0700XSocial Worker - Clinical M-4177 (New Mexico)Primary
1041C0700XSocial Worker - Clinical X-06096 (New Mexico)Secondary
1041C0700XSocial Worker - Clinical I-04932 (New Mexico)Secondary
1041C0700XSocial Worker - Clinical M-07045 (New Mexico)Secondary
1041C0700XSocial Worker - Clinical X-06579 (New Mexico)Secondary
1041C0700XSocial Worker - Clinical M-06832 (New Mexico)Secondary

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› Verified 8 days ago

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Phone: 575-445-8568    Fax: 575-445-0540
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