| NPI | 1730515230 |
|---|---|
| Other Name | A LIFE OF INDEPENDENCE VALUES AND ENCOURAGEMENT |
| Entity Type | Organization |
| Authorized Contact | DAWNETTE BURNS President 505-896-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NM PTO129672) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |