| NPI | 1437728193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VASQUEZ CASTRO Sr. Program Manager 505-206-0696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |