| NPI | 1285007724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SUEHR Executive Director 505-948-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0166301) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |