| NPI | 1750767810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAMS CEO 505-989-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 174400000X Specialist |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-02-07 |