| NPI | 1114045820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRONOWICZ Executive Director 505-428-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NM 5458) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |