NPI | 1083165476 |
---|---|
Entity Type | Organization |
Authorized Contact | DEMIAN HUEMAC RUBALCABA Executive Director 505-610-3610 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-09049) |
Enumeration Date | 2016-10-20 |
Last Update Date | 2016-10-20 |