| NPI | 1851301857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J TINGUELY Medicaid School Based Services COO R 575-527-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-11-05 |