| NPI | 1316830151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE KINNAIRD Director 915-252-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-10-21 |