| NPI | 1578728705 |
|---|---|
| Other Name | LA BUENA VIDA, INC. - LOS LUNAS OFFICE |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN M. CHOUBARD Executive Director 505-867-2383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 3043) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |