| NPI | 1003226671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BIRDSONG Sole Proprietor 575-937-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4845005) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |