The project consisted of a 38,000sf addition to an existing clinic on the Kewa Pueblo reservation to expand the health care services of the clinic. It includes an addition of a wellness center for OT/PT work, a new pharmacy, expansion of the primary care facilities, Hyperbaric department, and behavioral health department. The design and construction focused on the integration of the pueblo culture into the project. The building includes minor medical gas work, and an integration of the existing systems with the new systems. Throughout construction, the facility remained fully, requiring the team to work closely with staff to ensure as little interruptions as possible.