| NPI | 1912156654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C CHAVEZ Owner/Clinical Director 505-238-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0105091) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-08-04 |