NPI | 1780129866 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNNY A LAURENNE Owner 505-977-7336 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0159491) |
Enumeration Date | 2016-12-29 |
Last Update Date | 2016-12-29 |