| NPI | 1306278734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ERTLE Director 505-856-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NM 373HOOOOOX) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |