| NPI | 1558856104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL AGLER Chief Clinical Officer 505-395-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-08163) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |