| NPI | 1629876297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALIZA GOURNEAU Executive Director 575-650-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 252Y00000X Early Intervention Provider Agency | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |