| NPI | 1023202926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA LUJAN Executive Director 505-455-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 2007-12181) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |