| NPI | 1679432538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RESHELLE VELASQUEZ Owner/Manager 505-489-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-01-16 |