NPI | 1013617240 |
---|---|
Doing Business As | SENIOR PSYCHOLOGICAL CARE OF NEW MEXICO, LLC |
Entity Type | Organization |
Authorized Contact | RANDALL J FRAPART CFO 713-850-0049 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-03-07 |