| NPI | 1871509554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P DENNEDY-FRANK Executive Director 505-988-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 39994) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |