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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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