| NPI | 1972548782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERIAL ABOOD CEO 505-439-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 2002-0001) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |