| NPI | 1043863483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN ANN LYTLE Registered Nurse 505-681-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |