| NPI | 1356690804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ASHU NOJANG Executive Director 505-891-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 12-00012932) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |