| NPI | 1851428775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA F JAMES Residentail Counselor 505-535-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: GA 1535) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-08 |