NPI | 1154980621 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ALEXY Fiscal Operations Manager 505-866-9271 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-06-10 |