| Organization Name: | SERVICE ORGANIZATION FOR YOUTH, INC. |
| NPI Number: | 1295886372 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FERMAN L. ULIBARRI (EXECUTIVE DIRECTOR) |
| Mailing Address: | 101 Letton Dr Raton |
| State: | NM US |
| Postal Code: | 877404366 |
| Phone Number: | 5754458568 |
| Fax Number: | 5754450540 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 05/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-04932 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |