| NPI | 1184890899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNIE C YAZZIE Chief Executive Officer 505-722-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: 9335) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2009-05-06 |