NPI | 1831584192 |
---|---|
Entity Type | Organization |
Authorized Contact | GIL VIGIL Executive Director 505-231-5469 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2015-04-03 |
Last Update Date | 2015-04-03 |