NPI | 1942421748 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD JOSEPH CHAVEZ Behavior Therapist 505-480-3844 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 032709443) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |