| NPI | 1285087452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S RIOS Clinical Director/CEO 505-600-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1T3556) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |