| NPI | 1386143352 |
|---|---|
| Doing Business As | PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALBERTO LOPEZ Facility Manager 505-757-7120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NM PENDING) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |