| NPI | 1780126433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA B MARCUS Clinical Director 505-753-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 09065R) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2025-12-05 |