| NPI | 1750470415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY BAXTER Executive Director 505-393-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NM 02143726002) |
| Additional Taxonomies | 251S00000X (Licence: NM 02143726002) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-02-26 |