NPI | 1003265281 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE A EATON Student In An Organized Health Care 505-471-4752 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-06-08 |