| NPI | 1710289517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SCHILLING Therapist/Assistant Supervisor 575-556-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0129991) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |