NPI | 1669536124 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN FOX President 505-266-0388 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-05588) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2009-02-04 |