| NPI | 1659716967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COLEMAN CEO 505-237-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 111569509) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |