NPI | 1124188024 |
---|---|
Entity Type | Organization |
Authorized Contact | NICK PAVLAKOS Executive Director 505-298-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-02-27 |