| NPI | 1245470061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SOLUM Administrative Assistant 575-521-4794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2013-01-10 |