| NPI | 1538414727 |
|---|---|
| Other Name | CHILDREN'S BEHAVIORAL HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | NICOLE DEHERRERA Program Director 505-566-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-07674) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |