Organization
LA FAMILIA, INC.
Active
Other names
La Familia-Namaste
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY C. BECKER (CREDENTIALING ADMINISTRATOR)
(505) 918-4367
Entity
Organization
Contact information
Practice address
2400 WELLESLEY DR NE, ALBUQUERQUE, NM 87107-1812
(505) 766-9361
(505) 243-2252
Mailing address
2400 WELLESLEY DR NE, ALBUQUERQUE, NM 87107-1812
(505) 766-9361
(505) 243-2252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0892
—
NM
05
—
P6125
—
NM
05
—
Q0475
—
NM
Enumeration date
01/02/2007
Last updated
11/03/2016
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