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 |