| NPI | 1922426006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN HICHEY Cheif Executive Officer 505-633-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |