| NPI | 1275289407 |
|---|---|
| Doing Business As | LEEWARD COMMUNITY & THERAPY SUPPORTS |
| Entity Type | Organization |
| Authorized Contact | TARYN JOY MAI VALDEZ IVERS Owner 505-429-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-01-19 |