| NPI | 1497462592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS H FUENTES Community Support Worker Children 575-437-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |