| NPI | 1093670812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J MILLER Executive Director 505-810-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 273Y00000X Rehabilitation Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2025-12-23 |