| NPI | 1134506629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLA GARLITZ-BEDENFIELD CEO 575-935-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0170731) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |