| NPI | 1831998988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSE BAROS Behavioral Health Consultant 505-927-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |