| NPI | 1477866523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BUTTERS Clinical Director 505-891-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1217) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |