| NPI | 1437164811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEON MILLER President 505-323-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-05-14 |