NPI | 1265721427 |
---|---|
Doing Business As | LA CASA FAMILY HEALTH CENTER-LOS NINOS PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SEFERINO M MONTANO CEO 575-356-6695 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM pending) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2011-03-28 |