| NPI | 1548537830 |
|---|---|
| Other Name | EL CENTRO FAMILY HEALTH WLS 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) (Licence: NM 02932) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2014-11-21 |