| NPI | 1639957517 |
|---|---|
| Former Legal Business Name | CONSORTIUM CARE OF NEW MEXICO, LLC |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA WARREN-TAYLOR CEO 301-525-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |