| NPI | 1073750170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HATFIELD Executive Director 505-864-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0082711) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |