| NPI | 1407676679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA STONE CEO 505-262-6546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QD0000X Clinic/Center Dental | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-07-16 |