| NPI | 1225178221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE QUINN CEO 505-338-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NM 02373964009) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-04-22 |