| NPI | 1386870137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY SMITH Executive Director 505-343-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |