| NPI | 1265272207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ANDERSON Executive Director 505-675-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |