| NPI | 1942650445 |
|---|---|
| Doing Business As | ESPANOLA FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARC WELCH VP Of Finance 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-10-12 |