| NPI | 1912448499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE HARRISON-SANCHEZ Social Worker 505-321-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NM M-08234) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |