| NPI | 1487845962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA JEAN BROWN Acting Executive Director 505-454-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |