| NPI | 1588925788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA JOHN Behavioral Health Director 505-722-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0131901) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-03-10 |