| NPI | 1023334083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO FIDENCIO GRANO Clinical Psychologist 505-617-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0811) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |