| NPI | 1104990050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES REDWING Executive Director 505-564-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 6701) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-04-08 |