| NPI | 1093935959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISZTINA FORD CEO/President 505-271-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care (Licence: NM M1099) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM M1099) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-07-28 |