| NPI | 1033527015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBEN R GINGERY Owner 505-200-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NM 91-207) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2022-06-15 |