Organization Name: | LA ALIANZA HISPANA, INC |
NPI Number: | 1023232998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSA MARIA COLON (CONTRACT MANAGER) |
Mailing Address: | 409 Dudley St Roxbury |
State: | MA US |
Postal Code: | 021193366 |
Phone Number: | 6174277175 |
Fax Number: | 6174422259 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 05/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |