| NPI | 1255324562 |
|---|---|
| Doing Business As | HMS SILVER HIGH SCHOOL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL OTERO CEO 575-542-2322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 03537) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-03-04 |