| NPI | 1669853339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN LAMOREE-LUKASAVAGE Clinical Therapist 505-835-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM i 2081) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-12-17 |