| NPI | 1750448056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ISAIAS MONDRAGON Associate Director 505-565-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NM 5604) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |