| NPI | 1639772361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LAMAR CALLENDER Executive Director 575-495-3892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |