| NPI | 1194859306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARANPREET SINGH SANGHA Director 505-450-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NM FA0069256) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: NM 2545) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |