| NPI | 1427330513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROOKER CFO 575-267-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |