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 | |
Enumeration Date | 2020-12-28 |
Last Update Date | 2024-05-07 |