| NPI | 1487988200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO REINA MENDEZ Outreach Caseworker 505-764-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |