| NPI | 1700235223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HARRIS FLORES President 505-503-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0178771) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |