| NPI | 1396124616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARTINEZ Community Support Worker 505-920-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |