| NPI | 1417373689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY VICTORIA KNUTSON-JONES President/ Director 505-897-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |