| NPI | 1497000954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORKY ST. JAMES President 505-830-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 3888) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |