| NPI | 1679825095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLMA FINE Owner 505-553-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM NM 0133601) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |