| NPI | 1346365301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE PATTISON Executive Director 505-242-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 0068912) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |