| NPI | 1114074879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DANIEL LUEKER Medical Director 505-881-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |