| NPI | 1598123713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUZANNE APONTE-PACHECO Chief Of Revenue Cycle 915-887-3410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-06-06 |