| NPI | 1003917261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORRIE JEAN LAYCOCK Psr Aide 505-863-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-14 |