| NPI | 1841544814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY HOLDERMAN Vice President Cds 505-724-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM CL00010876) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |