| NPI | 1801781521 |
|---|---|
| Other Name | NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | MEMORY MABUGU Owner 412-390-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |