| NPI | 1063797629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO GARVEY-SIERRA Social Worker 505-319-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-04747) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |