| NPI | 1427431857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA L LOPEZ Social Worker 505-923-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM X-09153) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |