NPI | 1457798712 |
---|---|
Other Name | EL CENTRO FAMILY HEALTH CVMHS SBHC |
Entity Type | Organization |
Authorized Contact | LORE PEASE CEO 505-753-7218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2014-11-21 |