| NPI | 1780883702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDE GRANO Executive Director 505-454-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 01256) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |