NPI | 1518067669 |
---|---|
Doing Business As | LA CASA FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SEFERINO MONTANO CEO 505-356-6695 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6415) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2008-03-12 |