| NPI | 1205079670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA YURIKO TOYOTA-SHARPE Clinical Director 575-538-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 005895) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |