| NPI | 1316288913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA ANAYA Partner 575-637-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0146011) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2018-08-30 |