| NPI | 1063997161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA HERNANDEZ Chief Operating Officer 575-882-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |