| NPI | 1790981967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIMA VARELA Mch Administrator 505-476-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |