NPI | 1598797805 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD HORAN Executive Director 575-588-7252 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-08-28 |