| NPI | 1194965475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIDA ABRAHAM Owner 575-932-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I06441) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |