| 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 |