| NPI | 1740009869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GALLEGOS COO 505-262-6543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |