| NPI | 1184787400 |
|---|---|
| Doing Business As | CHILDREN'S COMMUNITY MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS SWISSTACK Director 505-342-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM 3079) |
| Additional Taxonomies | 251S00000X (Licence: NM 3079) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |