Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1124866801 |
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| LBN Legal business name | CLINICA CAMPESINA FAMILY HEALTH SERVICES | ||||
| Authorized official | BRIAN JOHNSTON - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/17/2024 | ||||
| Last updated | 12/17/2024 - More than a year ago | ||||
| Identifiers |
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