| NPI | 1386953271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE EILEEN MERRELL-MCDONALD Owner/Director 505-400-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 006248) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |