| NPI | 1588942429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE PASCOE Health/Nutrition Manager 575-748-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NM 94581) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |