| NPI | 1851625784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI KUEHN Program Director 505-438-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-06966) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |