| NPI | 1700407277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS CHAVEZ Executive Director 505-688-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2021-03-26 |