| NPI | 1942889779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE A ORTEGA Owner 575-635-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |