| NPI | 1306068895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN MERRIWEATHER Executive Director 505-753-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1271) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |