NPI | 1902656242 |
---|---|
Entity Type | Organization |
Authorized Contact | LETICIA ANN NINO General Manager 505-525-9649 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-03-26 |