Organization
THE FAMILY CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA S DAVISON (CEO)
(505) 717-1155
Entity
Organization
Contact information
Practice address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
(505) 717-1473
Mailing address
2441 CABEZON BLVD SE, RIO RANCHO, NM 87124
(505) 717-1155
(505) 717-1473
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PT0088431
NM
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50239279
—
NM
Enumeration date
09/11/2007
Last updated
12/27/2023
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