| La Familia-namaste | |
|
2400 Wellesley Dr Ne Albuquerque NM 87107-1812 | |
| (505) 766-9361 | |
| (505) 243-2252 |
| Full Name | La Familia-namaste |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 Wellesley Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Audrey C. Becker (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 5059184367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia-namaste 2400 Wellesley Dr Ne Albuquerque NM 87107-1812 Ph: (505) 766-9361 | La Familia-namaste 2400 Wellesley Dr Ne Albuquerque NM 87107-1812 Ph: (505) 766-9361 |
| NPI Number | 1083771760 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083771760 | NPI | - | NPPES |
| P6125 | Medicaid | NM | |
| M0892 | Medicaid | NM | |
| Q0475 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
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