| NPI | 1316339948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SHUYA President 915-235-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM CNP-02567) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |