| NPI | 1972889442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA LYNN ALBERT Clinical Director 575-649-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 0129221) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |