| NPI | 1306291158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAUNCAY J LUCAS Owner CFO/CEO 505-814-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |