| NPI | 1336489772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ANNETTE PARKER President/Owner 505-312-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-03-19 |