| NPI | 1295627628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DIXON Executive Director 505-510-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |