| NPI | 1053020123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL GUZMAN VEGA Owner 505-353-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-06-13 |