| NPI | 1912995242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY GROSS Executive Director 575-758-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251B00000X Case Management (Licence: NM 3039B1) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-07-21 |