| Child & Family Wellness | |
|
1601 E 20th St Farmington NM 87401-4307 | |
| (505) 793-5547 | |
| Not Available |
| Full Name | Child & Family Wellness |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1601 E 20th St, Farmington, New Mexico |
| Authorized Official Name and Position | Karen Raburn (OWNER) |
| Authorized Official Contact | 5057935547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Wellness 1601 E 20th St Farmington NM 87401-4307 Ph: (505) 793-5547 | Child & Family Wellness 1601 E 20th St Farmington NM 87401-4307 Ph: (505) 793-5547 |
| NPI Number | 1750540480 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750540480 | NPI | - | NPPES |
| 1881726388 | Other | NM | SINGLE PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 96388 (New Mexico) | Primary |
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