NPI | 1699193656 |
---|---|
Doing Business As | MAJOR CONSULT CLINIC |
Entity Type | Organization |
Authorized Contact | CHIBUZO UKAEGBU Owner/Medical Director 575-556-9837 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM MD2008-0255) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NM MD2008-0255) |
Enumeration Date | 2014-04-06 |
Last Update Date | 2018-07-07 |