| NPI | 1164802310 |
|---|---|
| Doing Business As | LCDF COMMUNITY MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIRGIL MEDINA CEO 575-526-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-09-07 |