| NPI | 1346565504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LEE CZINGER Owner 505-660-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-06046) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2011-12-15 |