| NPI | 1316098346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L CHURCH Executive Director 505-268-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-02-10 |