| NPI | 1578410833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFREN GALLARDO Administrator 505-226-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2026-03-14 |
| Last Update Date | 2026-03-14 |