NPI | 1154625275 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTHIE ROBBINS President 505-873-1187 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NM 02416649009) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2012-02-28 |