| NPI | 1861607400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ADRIAN ABREU Executive Director 505-454-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-02-11 |