THE WILLOW FOUNDATION (NPI# 1962720771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962720771 |
| Entity Type | Organization |
| Organization Name | THE WILLOW FOUNDATION |
| Practice Address |
1405 Madison Ave Roswell NM 88203-5535 |
| Practice Telephone | 5755780069 |
| Mailing Telephone | 5755780069 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | JUSTIN BRITTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5755780069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE WILLOW FOUNDATION | 4240 94th Ave Se, Mercer Island, WA 98040 |
| Street Address |
1405 MADISON AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-5535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448499 | Jennifer Harrison-sanchez | Community Based Residential Treatment Facility, Mental Illness | 9961 Academy Rd Nw, Albuquerque, NM 87114-4245 | 2017-03-16 |
| 1205219771 | Dismas House | Community Based Residential Treatment Facility, Mental Illness | 701 Candelaria, Albuquerque, NM 87108 | 2015-07-02 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1366712283 | Native American Behavioral Health Services P.C. | Community Based Residential Treatment Facility, Mental Illness | 3300 Box Canyon Ave, Suite A, Gallup, NM 87301-6940 | 2012-01-10 |
| 1508143652 | Pasos Adelante Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 101 Maguey Ct Ste 1, Sunland Park, NM 88063-9513 | 2011-11-03 |
| 1255621058 | Hobbs Recovery House | Community Based Residential Treatment Facility, Mental Illness | 218 W Lea St, Hobbs, NM 88240-5110 | 2011-04-13 |
| 1720246051 | International Word of Faith Ministry | Community Based Residential Treatment Facility, Mental Illness | 1605 E Dunn St, Hobbs, NM 88240-6704 | 2008-05-22 |
| 1063563385 | Life Healing Center of Santa Fe | Community Based Residential Treatment Facility, Mental Illness | 25 Vista Point Rd, Santa Fe, NM 87508-7800 | 2007-01-15 |
| 1326136532 | El Rocky Mountain Management & Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 712 Rencher St, 316 West 7th Street, Clovis, NM 88101-6560 | 2006-10-11 |
| 1760026942 | Youth Health Associates, Inc. | Community Based Residential Treatment Facility, Mental Illness | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.