| NPI | 1154786275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SUEHR Owner 505-948-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 016630) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |