| NPI | 1649555970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE E DUGGINS Director 505-259-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM X-07553) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |