| NPI | 1962731174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ENRIGHT-SMITH Founder/Owner 505-280-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-06858) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |