NPI | 1912016734 |
---|---|
Doing Business As | ESPERANZA FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ROBERTA LEE CFO 505-982-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6348) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NM CL00007280) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2014-01-23 |