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Organization

SAN JUAN COLLEGE FAMILY RESOURCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN WORKMAN (DIRECTOR)
(505) 566-3825
Entity
Organization

Contact information

Practice address
3539 E 30TH ST, FARMINGTON, NM 87402-8801
(505) 566-3825
Mailing address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4609
(505) 566-3825

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251B0000X
CASE MANAGEMENT
NM
01
251S0000X
COMMUNITY BEHAVIORAL HEAL
NM
Enumeration date
12/05/2006
Last updated
09/11/2025
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