| NPI | 1013242379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATTIANA VIRELLA-FUENTES Resident Assistant 505-983-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-19 |