NPI | 1083771760 |
---|---|
Doing Business As | LA FAMILIA-NAMASTE |
Entity Type | Organization |
Authorized Contact | AUDREY C. BECKER Credentialing Administrator 505-918-4367 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-01-02 |
Last Update Date | 2016-11-03 |