| NPI | 1265713416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE NUNEZ Substance Abuse Counselor 505-224-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM 0140761) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |