| NPI | 1023479433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE CALL Owner/Lmt 505-366-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 4701) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |