| NPI | 1194599712 |
|---|---|
| Doing Business As | CHRISTUS ST. VINCENT CENTER FOR HEALTHY AGING |
| Entity Type | Organization |
| Authorized Contact | CARLA L GOMEZ Pe Supervisor 505-913-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |