| NPI | 1538515374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCE BORDELEAU Social Worker 505-710-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-06163) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-12 |