| NPI | 1073930632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SCHELANDER Owner/Director 505-344-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0118071) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |