| NPI | 1003998410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLANDA NUNEZ Executive Director 505-438-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 3066B3) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |