| NPI | 1861858698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NICOLE MARTINEZ-GONZALES Owner 505-261-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0173531) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-12-05 |