| NPI | 1053933721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R O'DONNELL CEO, Founder 505-690-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |