| NPI | 1649311721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY LEDOUX Executive Director 505-445-5674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 01135142000) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-02-26 |