Organization
FAMILY HARMONY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMARR D. EDGERSON (OWNER/DIRECTOR)
(505) 629-1590
Entity
Organization
Contact information
Practice address
7109 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 629-1590
Mailing address
7109 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PT0106727
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
NM
Enumeration date
02/04/2010
Last updated
02/04/2010
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