| NPI | 1386359404 |
|---|---|
| Doing Business As | VALLEY-WIDE SUPPORT SERVICES - LAMAR |
| Entity Type | Organization |
| Authorized Contact | JAVIER MARTINEZ CFO 719-587-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-05-31 |