| NPI | 1376768036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MAE TURCO CEO 505-922-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-06189) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |