| NPI | 1003218553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L CHESHIRE CEO 505-554-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 1251) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |