| NPI | 1073723110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KATHLEEN CASTELLI Mst Therapist 505-649-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NM M-06377) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |