| NPI | 1194912881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE MANDELL President 505-690-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 03082439007) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-07-22 |