| 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 |