| NPI | 1740788686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOBART BARBOUR Chief Operations Officer 505-321-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: TX Q9162) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |