NPI | 1013342278 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JAMES HECKERT CEO 575-443-7845 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2013-09-06 |
Last Update Date | 2013-09-06 |