| NPI | 1386676856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MARIE CHOUBARD Executive Director 505-867-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 3043) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-07-28 |