| NPI | 1447407564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREL JO STONE Executive Officer 575-682-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NM 0115601) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |