NPI | 1225361868 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE COHEN Fis Ii 505-877-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 101Y00000X) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2009-09-15 |