| NPI | 1700280161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HARPER Billing And Credentialing Specialis 505-884-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM I-08175) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |