| NPI | 1992177752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HARRIS Owner 505-203-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-07238) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |