| NPI | 1871602698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADAMS CEO 505-989-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NM 6596) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 6596) |
| 174400000X Specialist | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-10-06 |