| NPI | 1013067974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE TURNER Administrator 505-877-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NM 5118) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-07-09 |