| NPI | 1215374855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LOVATO Teacher 505-944-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NM 154065) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |