| NPI | 1447427182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE FLORINDA ELWELL Director 505-249-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM I-3639) |
| Additional Taxonomies | 251S00000X (Licence: NM M-06402) |
| 251S00000X (Licence: NM 0095611) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |