| NPI | 1093965873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA GAMEZ Clinical Services Senior Manager 505-908-6380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2025-07-30 |