| NPI | 1114270881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES HEALEY Counselor 505-577-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0094631) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |