| NPI | 1225726318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH GARCIA Hr Manager 505-582-0891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-10-24 |