| NPI | 1629326673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY LAUGHTER Financial Manager 505-879-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NM 1200002447) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |