Organization
ABRAZOS FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN SEGEL M.A. (EXECUTIVE DIRECTOR)
(505) 867-3396
Entity
Organization
Contact information
Practice address
412 CAMINO DON TOMAS, BERNALILLO, NM 87004-9101
(505) 867-3396
Mailing address
PO BOX 788, BERNALILLO, NM 87004-0788
(505) 867-3396
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1375
—
NM
05
—
E2555
—
NM
05
—
T6846
—
MN
Enumeration date
03/23/2007
Last updated
08/22/2020
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