| NPI | 1366588642 |
|---|---|
| Other Name | LIFE HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANINE M FORSYTHE Director 505-453-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1993) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |