| NPI | 1164055927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL W BROWN CEO 575-472-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-12-23 |