| NPI | 1376949404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE ANN BARR-JOHNSON Executive Director 505-803-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-06-25 |