| NPI | 1386004737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ASCHENBRENNER Owner/Operator 505-228-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0175141) |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2016-02-28 |