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 (Licence: NM 1993) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |