| NPI | 1336200294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MCKEE Director 505-646-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NM 6370NewMexicoDeptofH) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-08-10 |