| NPI | 1003375346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KOENIG CEO & Medical Director 505-377-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-07-09 |