| NPI | 1316317639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA CLAY Chair 505-850-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |