| NPI | 1659748317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD G GARNER Contract Therapist 505-270-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1517) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |