| NPI | 1801296900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY OBRIEN RN 505-265-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |