| NPI | 1871602698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAMS CEO 505-989-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-12-19 |