NPI | 1336437672 |
---|---|
Doing Business As | LA FAMILIA HEALTH |
Entity Type | Organization |
Authorized Contact | BRANDON VANESSA VAN PELT CEO 505-424-5683 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
Enumeration Date | 2011-07-20 |
Last Update Date | 2024-06-17 |