| NPI | 1316303647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAMS CEO 505-955-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM PT00006225) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2021-09-30 |