| Organization Name: | THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO |
| NPI Number: | 1407094980 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA SOLUM (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 800 County Line Chaparral High School-based Health Center Chaparral |
| State: | NM US |
| Postal Code: | 88081 |
| Phone Number: | 5758826300 |
| Fax Number: | 5758245081 |
| NPI Enumeration Date: | 01/22/2009 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |