| NPI | 1710768700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESSA NICOLE TRUJILLO Director Of Program Services 505-341-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |