| NPI | 1902695448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CADE MALONE CEO 505-452-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |