NPI | 1932407681 |
---|---|
Other Name | EL CENTRO FAMILY HEALTH TAOS CLINIC |
Entity Type | Organization |
Authorized Contact | LORE PEASE CEO 505-753-7218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NM 3385) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2014-11-21 |