| NPI | 1558671628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN S WILDE President 505-269-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0070981) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |