NPI | 1518010222 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE R LEWIS Clinical Director 505-624-1780 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 4079) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |