| NPI | 1558819847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE BOYD Owner 505-991-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-08014) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-03-11 |