Organization Name: | LOS ALAMOS FAMILY COUNCIL, INC. |
NPI Number: | 1255374021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOY BEERY (EXECUTIVE DIRECTOR) |
Mailing Address: | 1505 15th St Suite C Los Alamos |
State: | NM US |
Postal Code: | 875443000 |
Phone Number: | 5056624160 |
Fax Number: | 5056629707 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3038 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |