| NPI | 1356756845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ESQUIBEL Executive Director 505-454-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM X-08729) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |