| NPI | 1578366225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SANCHEZ Human Resources 575-472-4311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |