| NPI | 1003984089 |
|---|---|
| Doing Business As | TEEN HEALTH CENTER SANTA FE HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: NM CL00007506) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-01-09 |