| NPI | 1063568624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY NACIM Director 915-545-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 30164) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-02-27 |