| NPI | 1326452707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN ANNETTE BRUTON Chief Executive Officer 575-590-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2263) |
| 225X00000X Occupational Therapist (Licence: NM 3083) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 4700) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-07-21 |