NPI | 1417128265 |
---|---|
Doing Business As | 1WINSLOW |
Entity Type | Organization |
Authorized Contact | LOREN SEKAYUMPTEWA Executive Director 505-722-2177 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |