| NPI | 1396214086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GATES Executive Director 575-571-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-28 |