Provider Demographics
NPI:1336430883
Name:FAMILY OPTIONS LLC
Entity type:Organization
Organization Name:FAMILY OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-425-5429
Mailing Address - Street 1:518 NMHW 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4034
Mailing Address - Country:US
Mailing Address - Phone:505-425-5429
Mailing Address - Fax:505-425-5379
Practice Address - Street 1:518 NMHWY 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4034
Practice Address - Country:US
Practice Address - Phone:505-425-5429
Practice Address - Fax:505-425-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM53336356251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services