NPI | 1770970972 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA CALLAWAY Owner 505-913-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 15-00131354) |
Enumeration Date | 2015-04-25 |
Last Update Date | 2015-04-25 |