| NPI | 1033125828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DALE SLACK President 505-327-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM MD2003-0686) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |