| NPI | 1114094547 |
|---|---|
| Doing Business As | TEEN HEALTH CENTERS CAPITAL HIGH |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM CL00007507) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-01-09 |