| NPI | 1831267079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUNA CEO 915-225-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-05-21 |