| NPI | 1568767598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE ANNE STONE President 505-250-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 03-204201-00-9) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-23 |