NPI | 1417578816 |
---|---|
Entity Type | Organization |
Authorized Contact | ANAI MUNOZ Office Manager 575-222-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
261QP2300X Clinic/Center, Primary Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-04-27 |
Last Update Date | 2021-08-05 |