| NPI | 1275719254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO GARCIA Executive Director 505-474-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 005527) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NM 005527) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |