NPI | 1740581511 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY ANNETTE BROOKS Owner 505-550-9536 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0133481) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2010-11-10 |