| Family Time | |
|
19 Road 3953 Farmington NM 87401-7990 | |
| (505) 486-9942 | |
| Not Available |
| Full Name | Family Time |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 Road 3953, Farmington, New Mexico |
| Authorized Official Name and Position | Brenda K. Baker (CLINICAL COUNSELOR) |
| Authorized Official Contact | 5054869942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Time 19 Road 3953 Farmington NM 87401-7990 Ph: (505) 486-9942 | Family Time 19 Road 3953 Farmington NM 87401-7990 Ph: (505) 486-9942 |
| NPI Number | 1306026075 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306026075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | M-06619 (New Mexico) | Primary |
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