NPI | 1427286509 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA ROSE TROUT Owner 575-521-9210 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-06248) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2009-06-26 |