| NPI | 1467689885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MICHELLE DURAN Owner, Agency Director 505-350-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0093551) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |