| NPI | 1669285409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HOLLINGSWORTH Board Member 505-365-0321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |