NPI | 1326371279 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET DIANE HURSH President Of Non Profit 1505-244-8401 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 57-1172394) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2009-09-10 |