| NPI | 1376873448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME TAMEZ Executive Director 505-843-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |