| NPI | 1871881326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ANN FINLAY Director 505-266-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1291) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |