| NPI | 1750508529 |
|---|---|
| Doing Business As | FUTURA VISTA GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALKER Clinical Director 505-607-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0672) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |