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 |