| NPI | 1407376585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN FLEMING Executive Director 505-346-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-03-24 |