| NPI | 1013207356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ROWAN MAES President 505-898-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 266) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NM 266) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |