| NPI | 1467753954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GARLAND Director 575-257-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 006181) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |