| NPI | 1023877495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL TOBIN President 915-487-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |