NPI | 1194077396 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN M HAYNES Owner 505-238-9551 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-05833) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2012-10-11 |