NPI | 1649315102 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS MARQUEZ Executive Director 505-323-3785 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NM 600153) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2007-02-21 |
Last Update Date | 2022-07-21 |