| NPI | 1457539322 |
|---|---|
| Doing Business As | MEDICAL ASSISTANCE DIVISION |
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVENS Chief 505-827-6207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |