| NPI | 1831243732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMOND A. DAW Executive Director 505-722-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NM 5550) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |