| NPI | 1205219771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GIVENS Community Service Worker 505-343-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NM NPI#1902918055) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |