| NPI | 1659543742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE J ALVARADO Office Manager 505-822-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NM 4773) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |