| NPI | 1376695387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R RODRIGUEZ Executive Director 505-758-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |