| NPI | 1699245050 |
|---|---|
| Other Name | CMBC |
| Doing Business As | CHARLIE MIKE |
| Entity Type | Organization |
| Authorized Contact | CHARLES GATES Executive Director 575-571-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |