| NPI | 1407243199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA A MONTOYA Lmsw 505-918-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-08062) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |