| NPI | 1588876932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE RODDEN Director Of Quality Assurance 505-898-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NM 68929072) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |