| NPI | 1558411769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GALE LEIGH Office Administrator 505-272-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-21 |