| NPI | 1083471643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN SCHIMMELS Owner 505-448-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-03-11 |