Organization
CAPACITY BUILDERS, INC.
Active
Organization
CAPACITY BUILDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE OFTEDAL (SENIOR MANAGEMENT/QUALITY CONTROL)
(505) 289-7790
Entity
Organization
Contact information
Practice address
2200 BLOOMFIELD HWY, FARMINGTON, NM 87401-8110
(505) 278-7789
(505) 326-1698
Mailing address
2200 BLOOMFIELD HWY, FARMINGTON, NM 87401-8110
(505) 278-7789
(505) 326-1698
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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