| NPI | 1033429220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN GRIMM Partner 505-986-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0092) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |