| NPI | 1366930380 |
|---|---|
| Doing Business As | EAGLE STUDENT HEATH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID B SHAW CEO/Administrator 575-396-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-08-21 |