| NPI | 1437520962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MUNOZ Administrative Manager 505-503-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0092241) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |