| NPI | 1063201812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE ESPINOSA Provider 915-979-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |