| NPI | 1073657375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALLEN CAPLAN Psychologist 505-526-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 279) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |