| NPI | 1326195769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-04-07 |