| NPI | 1194542746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL GARNAND Billing Specialist 505-308-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-10 |