| La Familia Community Supports Services Llc | |
|
415 60th St West New York NJ 07093-2211 | |
| (305) 972-0162 | |
| Not Available |
| Full Name | La Familia Community Supports Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 415 60th St, West New York, New Jersey |
| Authorized Official Name and Position | Ana Karla Pajon Barrios (CEO) |
| Authorized Official Contact | 5619073945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia Community Supports Services Llc 415 60th St West New York NJ 07093-2211 Ph: (305) 972-0162 | La Familia Community Supports Services Llc 415 60th St West New York NJ 07093-2211 Ph: (305) 972-0162 |
| NPI Number | 1134010796 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 07/11/2025 |
| Certification Date | 07/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134010796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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