| NPI | 1821373812 |
|---|---|
| Other Name | EL CENTRO FAMILY HEALTH BOND CLINIC |
| Entity Type | Organization |
| Authorized Contact | LORE PEASE CEO 505-753-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2014-11-25 |