| NPI | 1649310749 |
|---|---|
| Other Name | CASA DE CORAZON |
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY DEPAULA Director Of Operations 505-751-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NM 0752) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-04-10 |