Provider First Line Business Practice Location Address:
I40 W EXIT 131 HIGHWAY 56 N
Provider Second Line Business Practice Location Address:
ACL TEEN CENTERS TO'HAJIILEE COMMUNITY SCHOOL
Provider Business Practice Location Address City Name:
TO'HAJIILEE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-908-2377
Provider Business Practice Location Address Fax Number:
505-908-2370
Provider Enumeration Date:
08/29/2007