| NPI | 1619052107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY DOWNS Owner 505-425-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM crs02424726000) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-02 |