| NPI | 1891892014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI LEWIS Executive Director 505-326-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM 1079a) |
| Additional Taxonomies | 251S00000X (Licence: NM 1079a) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |