| NPI | 1114350022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONNA D. PATE Licensed Psychologist 575-808-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1269) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |