| NPI | 1164583712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SULLIVAN Director Of Community Support 505-424-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-07-21 |