| NPI | 1326481193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN RENEE HOMER Executive Director 505-382-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |