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 |