NPI | 1538561964 |
---|---|
Other Name | EL CENTRO FAMILY HEALTH MMS SBHC |
Entity Type | Organization |
Authorized Contact | LORE PEASE CEO 505-753-7218 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 3394) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2016-03-22 |