| NPI | 1609312750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE CASIAS Managing Director 505-692-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM c-2886) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NM c-2886) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-13 |