| NPI | 1063682458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUSAN SPEAKER President 505-507-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 251S00000X) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |