| 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 |