Interfaith-Leap Inc.
NPI #1942365176 in Chimayo, New Mexico
Provider Information
- NPI Number
- 1942365176
- Entity Type
- Organization
- Organization Name
- Interfaith-Leap Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Apr 22, 2009
Practice Location
- Address
- JOHN HYSON DR.
- City
- Chimayo
- State
- New Mexico
- ZIP Code
- 87522
- Phone
- (505) 351-2163
Authorized Official
- Name
- MR. RAYMOND M CHAVEZ, ETC
- Title
- EXCUTIVE DIRECTOR
- Phone
- (505) 351-2163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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