San Juan College
San Juan College is a Community/Behavioral Health Agency in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.
- Licensed in
- NM
- In the registry since
- 2012
Practice location Address checks out
4601 College BlvdFarmington, NM 87402-4609
Phone: (505) 566-3846
Fax: (505) 566-3687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence M-07674 (NM) |
|---|
Record details
| NPI number | 1538414727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Deherrera — Program Director · (505) 566-3846 |
| Other names | Children'S Behavioral Health Program |
| NPI enumerated | July 13, 2012 |
| Last updated in NPPES | July 13, 2012 |
| Mailing address | 4601 College Blvd, Farmington, NM 87402-4609 |
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