| NPI | 1821364902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FRANCO President 505-881-4012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NM CNP00453) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |