| 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 |