| NPI | 1124156815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J MCGUILL CEO 505-281-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 1114) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 1115) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 1116) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-08-22 |