NPI | 1487026563 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY KOENIG Financial Officer 575-267-3280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |