| NPI | 1376606186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BICKELMAN CEO 505-836-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NM 1014a,4406,) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |