| NPI | 1235375460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMORY CRAWFORD Administrator 575-355-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |