| NPI | 1275003949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L MARION Vice President & CFO 575-762-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |