| NPI | 1255662003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MACCRACKEN Owner 575-770-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM I06568) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2022-07-21 |