| NPI | 1164675419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MAUREEN SAWYER Director 505-227-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 2002-0209) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2009-04-15 |