GREGORY T. LYLES-DAVIS

ALBUQUERQUE, NM
NPI1831424050
Entity TypeOrganization
Authorized ContactGREGORY T. LYLES-DAVIS
Program Director
505-212-7466
Organization Subpart ?Yes
Primary Taxonomy251B00000X Case Management
Enumeration Date2009-10-06
Last Update Date2009-10-06
Business Address
GREGORY T. LYLES-DAVIS
632 CHAMA ST SE APT A
ALBUQUERQUE, NM 87108-3963
Phone number: 505-212-7466
Mailing Address
GREGORY T. LYLES-DAVIS
632 CHAMA ST SE APT A
ALBUQUERQUE, NM 87108-3963
Phone number: 505-212-7466