| 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 |