| NPI | 1417379868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SOUZA CEO 575-528-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0139621) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2014-01-19 |