| NPI | 1144379264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL MARIE COLE Executive Director 505-325-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-05-20 |