| NPI | 1528458114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE BERNARD Executive Director 505-474-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM 5817) |
| Additional Taxonomies | 251S00000X |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NM 5817) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2021-06-29 |