| NPI | 1093127045 |
|---|---|
| Doing Business As | WNMMG-GRANTS BH |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |