Lds Family Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Farmington, NM. Organization (NPI-2).
NPI number1124153366
StatusActive
Last updated in NPPESJun 6, 2008
Details
- NPI
- 1124153366
- Entity type
- Organization (NPI-2)
- Legal business name
- Lds Family Services
- Organization subpart
- Yes
- Enumeration date
- Feb 21, 2007
- Last updated
- Jun 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Lds Family Services (Doing Business As)
Practice location
925 Cannery Ct Ste AFarmington, NM 87401-4058
Phone 505-327-6123 · Fax 505-327-9562
Mailing address
925 Cannery Ct Ste AFarmington, NM 87401-4058
Phone 505-327-6123 · Fax 505-327-9562
Authorized official
Chad T Schaugaard
Agency Director
5053276123
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