| NPI | 1366469314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MONTANEZ Chief Admin Officer 505-938-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 97227) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-02-11 |