| NPI | 1386020840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SAYLER COO 505-273-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1215022041) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |