| NPI | 1710903844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE GARAY Executive Director 575-267-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NM 321897) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-09-29 |