NPI | 1437554961 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA GATELY Owner 505-414-3883 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 03303958005) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2014-10-29 |