| NPI | 1154621043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JEAN MILES Owner, President 505-836-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-2217) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |