| NPI | 1134497431 |
|---|---|
| Other Name | EL CENTRO FAMILY HEALTH TAOS HS SBHC |
| Entity Type | Organization |
| Authorized Contact | LORE PEASE CEO 505-753-7218 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 3516) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2016-03-29 |