Organization
PB&J FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE COHEN (FIS II)
(505) 877-7060
Entity
Organization
Contact information
Practice address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
Mailing address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101Y00000X
NM
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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