| NPI | 1457770653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE DAVID SIMMONS CEO 575-937-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |