NPI | 1548425911 |
---|---|
Other Name | EL CENTRO FAMILY HEALTH LAS VEGAS CLINIC |
Entity Type | Organization |
Authorized Contact | LORE PEASE CEO 505-753-7218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6101) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2014-11-20 |