| NPI | 1265836803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA MORALES-AINA Director 915-546-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |