| NPI | 1326491309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A MONTES VP Compliance & Regulatory Affairs 575-649-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |