Organization
CHANGING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVANNA GORDON (CSW)
(505) 615-1238
Entity
Organization
Contact information
Practice address
712 TORRETTA DR SW, ALBUQUERQUE, NM 87121-5377
(505) 615-1238
Mailing address
712 TORRETTA DR SW, ALBUQUERQUE, NM 87121-5377
(505) 615-1238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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