| NPI | 1215244298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C. MCCASH President 505-203-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-05551) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2010-09-11 |