| NPI | 1972603165 |
|---|---|
| Doing Business As | LA CASA FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SEFERINO MONTANO CEO 505-356-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6338) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-07-30 |