| NPI | 1801282983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SCHINNERER Chief Executive Officer 575-887-1570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NM 1T3512) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |