| NPI | 1245777523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KARY SANCHEZ Director 505-306-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C0938) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |