| NPI | 1063844363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO J RIVERA Director 505-617-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 3730) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |