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