| NPI | 1710231212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SANCHEZ Principal 505-261-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4665520) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |