| NPI | 1811375256 |
|---|---|
| Other Name | TRANQUIL SKIES CMH |
| Entity Type | Organization |
| Authorized Contact | DANIEL OTERO CEO 575-542-2322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 3527) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 3527) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2017-03-23 |