| NPI | 1821259276 |
|---|---|
| Other Name | MARY PARKER |
| Entity Type | Organization |
| Authorized Contact | MARY L. PARKER Member 505-453-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |