| NPI | 1437480910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WHITE Clinical Supervisor 505-860-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-07119) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-02-02 |