| NPI | 1144754656 |
|---|---|
| Doing Business As | CIRCLE OF LIFE SOUTH |
| Entity Type | Organization |
| Authorized Contact | DOROTHY ANNE FORBES Program Director 505-692-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |