| NPI | 1336691591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILLA RENEE ALLEN Executive Direction 505-379-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |