| NPI | 1073907937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM DARCY Compliance Director 575-779-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-05-16 |