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 |