| NPI | 1013011212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NEWCOMBE Health Service Director 505-854-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: NM B5467) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-05-28 |