| NPI | 1326177148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LYNN COOPER Financial Director 505-887-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NM 5039) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |