| NPI | 1912720335 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MOLINA President & CEO 505-414-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-26 |