Provider Demographics
NPI:1194926097
Name:KID'S, INC. A SAFEHOUSE FOR KIDS
Entity type:Organization
Organization Name:KID'S, INC. A SAFEHOUSE FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JARAMILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:505-437-8689
Mailing Address - Street 1:1212 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6343
Mailing Address - Country:US
Mailing Address - Phone:505-437-8689
Mailing Address - Fax:
Practice Address - Street 1:1212 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6343
Practice Address - Country:US
Practice Address - Phone:505-437-8689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMVNM00692NOOtherSAFEHOUSE & SHELTER CARE