| NPI | 1598641359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA HERRERA Owner 915-922-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2026-07-15 |