NPI | 1467685644 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE EILEEN MERRELL-MCDONALD Program Director 505-332-9424 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-09-03 |
Last Update Date | 2009-09-03 |