| NPI | 1669536603 |
|---|---|
| Doing Business As | CARRIE TINGLEY OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | BONNIE MARIE WHITE Chief Financial Officer 505-272-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NM 6074) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-01-08 |