| NPI | 1508213869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ALLISON KARCZ Owner/Director 505-241-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 03349651000) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |