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 |