| NPI | 1407178387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY MITCHELL Hr Specialist 505-342-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1001YM0800X) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |