| NPI | 1053922104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LOUISE THOMAS JONES Therapist/Manager 505-315-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |