| NPI | 1023290160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J WENGS President/Owner 505-986-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NM 98414) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2011-12-21 |