| NPI | 1013745199 |
|---|---|
| Doing Business As | KWBO |
| Entity Type | Organization |
| Authorized Contact | KAYT WHITEBIRD ORANGE Psychologist 575-973-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2026-01-26 |