| NPI | 1114514924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO JOSE GARCIA CEO 575-642-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-05-07 |