| NPI | 1023817657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN CUMMINGS Office Mgr/Owner 505-908-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |