| NPI | 1699833640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM COPELAND Executive Director 505-262-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-02-25 |