| NPI | 1831352533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE GARAY Executive Director 575-267-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6316) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |