NPI | 1942365176 |
---|---|
Doing Business As | INTERFAITH-LEAP INC. |
Entity Type | Organization |
Authorized Contact | RAYMOND M CHAVEZ Excutive Director 505-351-2163 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM NM600922) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2009-04-22 |