| NPI | 1215566187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L MARION Vice President & CFO 575-762-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |