| NPI | 1508035718 |
|---|---|
| Doing Business As | POJOAQUE VALLEY HIGH SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDY R LOPEZ CEO 575-581-4728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-11-04 |