| NPI | 1730445297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYT GUTIERREZ Executive Director 505-870-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4200184) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |