| NPI | 1366672347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY SULLIVAN CLARKE Lpcc 505-474-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 0085671) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |