| NPI | 1982249363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE VILLARREAL Owner 505-414-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |