| NPI | 1740659804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URIAH DIXON SIMPSON Community Support Worker 505-564-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NM 115889273) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |