| NPI | 1699082537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LOPEZ Vice President 505-831-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM 101YM0800X) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |