| NPI | 1083149678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DENNEDY-FRANK Clinical Psychologist 505-988-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-05-05 |