Provider Demographics
NPI:1922484989
Name:FUNDACION LATINOAMERICANA DE ACCION SOCIAL, INC.
Entity Type:Organization
Organization Name:FUNDACION LATINOAMERICANA DE ACCION SOCIAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-772-2366
Mailing Address - Street 1:6666 HARWIN DR STE 370
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2264
Mailing Address - Country:US
Mailing Address - Phone:713-772-2366
Mailing Address - Fax:832-251-8121
Practice Address - Street 1:6666 HARWIN DR STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2264
Practice Address - Country:US
Practice Address - Phone:713-772-2366
Practice Address - Fax:832-251-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32983299261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)