NPI | 1073118790 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ARCURI Owner 505-629-0821 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |